JEFFREY JELIC


Address: 508 Fulton St, Durham, NC 27705-3875
Phone: 9092866960

JEFFREY JELIC (NPI# 1750317178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750317178
Entity Type Individual
Full Name JEFFREY JELIC
Credential MD
Practice Address 508 Fulton St
Durham
NC 27705-3875
Practice Telephone 9092866960
Enumeration Date 2006-06-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 9900887 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 508 FULTON ST
City DURHAM
State NC
Zip Code 27705-3875

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043217086 Stuart Hall Manning Internal Medicine 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 2005-07-06
1245839083 Jessica Elizabeth Cornett Recreation Therapist 508 Fulton St, Durham, NC 27705-3875 2020-10-22
1043819808 Rebecca Parker Maccioli Recreation Therapist 508 Fulton St, Durham, NC 27705-3875 2020-10-22
1174122055 Aline Xayasouk Occupational Therapist 508 Fulton St, Durham, NC 27705-3875 2020-10-21
1730786187 Kathryn Masincupp Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-10-07
1700490349 Sarah Elizabeth Parker Nurse Practitioner 508 Fulton St, Durham, NC 27705-3875 2020-09-01
1144833716 Phillip Charles Tampis Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-08-24
1164033445 Alexandra Demascole Social Worker 508 Fulton St, Durham, NC 27705-3875 2020-08-11
1386254498 Krishna Rana Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-08-04
1730799842 Jinah Han Pharmacist 508 Fulton St, Durham, NC 27705-3875 2020-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154960532 Zammitti Gidaly Abrams Cohen & Associates, P.C. Oral & Maxillofacial Surgery 4009 Corning Pl Ste E3, Charlotte, NC 28216-1310 2020-01-02
1740611706 Mark C. Austin Omfs, Pllc Oral & Maxillofacial Surgery 2001 South Baxter Drive, Leland, NC 28451 2013-12-02
1497931976 Drs Coleman & Coleman Oral & Maxillofacial Surgery 19910 North Cove Rd, Cornelius, NC 28031 2008-01-15
1306042122 Elda Lambert Fisher Oral & Maxillofacial Surgery Unc Hospitals 149 Brauer Hall Cb 7450, Chapel Hill, NC 27599-0001 2007-06-27
1508997883 Carolina Surgical Arts Pa Oral & Maxillofacial Surgery 2516 Oakcrest Ave, Suite B, Greensboro, NC 27408-1932 2007-03-08
1659444776 David Jason Mohorn Oral & Maxillofacial Surgery 408 Parkway, Suite A1, Greensboro, NC 27401-1661 2006-11-16
1154494284 James W Belcher Jr. Oral & Maxillofacial Surgery 301 East Wendover Ave Suite 111, Piedmont Oral Maxillofacial Fac Ctr, Greensboro, NC 27401 2006-11-16
1841388188 Allen Todd Smith Oral & Maxillofacial Surgery 1601 South Hawthorne Rd, Winston Salem, NC 27103-4127 2006-10-11
1447364666 Dewey G Carter Oral & Maxillofacial Surgery 853 Heather Rd, Burlington, NC 27215-6288 2006-08-17
1821005976 Asheville Radiology Associates Oral & Maxillofacial Surgery 84 Coxe Ave, Asheville, NC 28801-4167 2006-08-02
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Competitor

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City DURHAM
Zip Code 27705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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