Organization · Type 2 NPI

Functional Restorations LLC

Anaplastologist · Durham, NC

NPI number 1316659626 Active

Practice location

1200 Broad St Ste 108
Durham, NC 27705-3573

Specialties and licenses

TaxonomyCodeLicense
Pedorthist 224L00000XNone listed
Anaplastologist Primary 229N00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Prosthetic/Orthotic Supplier 335E00000XNone listed

Anaplastologist: 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…

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About NPI 1316659626

Functional Restorations LLC's National Provider Identifier is 1316659626, issued on Dec 19, 2022. The primary taxonomy on file is Anaplastologist (229N00000X), and the practice location is in Durham, NC. The record was last updated on Feb 3, 2026.