Functional Restorations Llc

Anaplastologist



  
  1200 Broad St Ste 108, Durham
North Carolina, 27705-3573

 919-802-8020   
Functional Restorations Llc is a Anaplastologist in Durham, North Carolina. It is located at 1200 Broad St Ste 108, Durham and it's customer support contact number is 919-802-8020. The authorized person of Functional Restorations Llc is Jennifer Robinson who is Principle/manager of this DME and his contact number is 919-802-8020. Functional Restorations Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Functional Restorations Llc is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).


DME Supplier Details:
Functional Restorations Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Functional Restorations Llc
Type: Anaplastologist
Location:1200 Broad St Ste 108, Durham,
North Carolina, 27705-3573
Phone:919-802-8020
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Jennifer Robinson
Position: Principle/manager
Contact Number: 919-802-8020
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1316659626
NPI Enumeration Date: 19 Dec, 2022
NPI Last Update On: 31 Jul, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Functional Restorations Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Anaplastologist Primary
Pedorthist Secondary
Durable Medical Equipment & Medical Supplies Secondary
Medicare Enrollment:
Functional Restorations Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
3476917691O20230906003333Functional Restorations, LlcDME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1200 Broad St Ste 108,
Durham, North Carolina
Zip: 27705-3573
Phone Number: 919-802-8020
Patients can reach Functional Restorations Llc at 1200 Broad St Ste 108, Durham, North Carolina or can call on customer care at 919-802-8020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.