Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilmington Aesthetic Facial Plastic and Reconstructive Center, LLC

Organization Facial Plastic Surgery Physician · NPI 1316202948

Wilmington Aesthetic Facial Plastic and Reconstructive Center, LLC is a Facial Plastic Surgery Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1604 Physicians Dr 103
Wilmington, NC 28401-7362
Phone: (910) 762-1070
Fax: (910) 762-1083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 2006-00621 (NC)

Record details

NPI number1316202948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deidra Blanks — Owner · (910) 762-1070
NPI enumeratedJuly 10, 2012
Last updated in NPPESJuly 26, 2012
Mailing address1604 Physicians Dr, 103, Wilmington, NC 28401-7362