Jeffrey Jelic, MD Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Durham, NC

NPI

1750317178

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

9900887 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-25

Last updated

2007-07-08