Individual provider Active NPI

Benjamin Robert Gosselin, DDS

  • Dentist
  • Wilmington, NC
National Provider Identifier
1073194270
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12873 Issued in NC
Practice address
2520 Delaney Ave
Wilmington, NC 28403-6002
Phone
(910) 762-1772
NPI assigned
Apr 19, 2021
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12873 NC Primary
General Practice Dentistry 1223G0001X 1002613-15 WI
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2520 Delaney Ave
Wilmington, NC 28403-6002

Mailing address

306 Long Pond Dr
Sneads Ferry, NC 28460-8315
Phone (262) 366-1489

Other practice location 1

218 S Front St
New Bern, NC 28560-2136
Phone (252) 638-8000

Other practice location 2

3685 Henderson Dr
Jacksonville, NC 28546-5218
Phone (910) 347-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1002613-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Duffy DMD, PLLC CurrentSince Nov 24, 2025 Accepting new patients
Ronald E Robisnon DDS PA General Practice PastSince Nov 24, 2025 Accepting new patients
Gina Mancini DMD PLLC General Practice PastSince Sep 8, 2025 Accepting new patients
Gina Collins Mancini, DMD PastSince Feb 2, 2020 Accepting new patients

Locations

2520 Delaney Ave
Wilmington, NC 28403
Phone (910) 762-1772

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1073194270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LONG POND DR",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284608315",
            "telephone_number": "262-366-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-762-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 S Front St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285602136",
            "country_code": "US",
            "telephone_number": "252-638-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3685 Henderson Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465218",
            "country_code": "US",
            "telephone_number": "910-347-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12873",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002613-15",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.