| Jeffrey S. Jelic, Dmd, Md | |
|
5501 Fortunes Ridge Dr Suite G Durham NC 27713-6102 | |
| (919) 419-9222 | |
| (919) 419-9255 |
| Full Name | Jeffrey S. Jelic, Dmd, Md |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5501 Fortunes Ridge Dr, Durham, North Carolina |
| Authorized Official Name and Position | Jennifer Thomas Pickett (PATIENT CARE COORDINATOR) |
| Authorized Official Contact | 9194199222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S. Jelic, Dmd, Md 5501 Fortunes Ridge Dr Suite G Durham NC 27713-6102 Ph: (919) 419-9222 | Jeffrey S. Jelic, Dmd, Md 5501 Fortunes Ridge Dr Suite G Durham NC 27713-6102 Ph: (919) 419-9222 |
| NPI Number | 1881761583 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881761583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9900887 (North Carolina) | Primary |
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