Active NPI
Benjamin Robert Gosselin, DDS
- Dentist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12873
- Practice address
- 2520 Delaney Ave
Wilmington, NC 28403-6002 - Phone
- (910) 762-1772
- NPI assigned
- Apr 19, 2021
- Last updated
- Nov 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1002613-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Duffy DMD, PLLC | Current | Accepting new patients | |
| Ronald E Robisnon DDS PA | General Practice | Past | Accepting new patients |
| Gina Mancini DMD PLLC | General Practice | Past | Accepting new patients |
| Gina Collins Mancini, DMD | Past | 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.
-
dba A Beautiful Smile
- Dental Clinic/Center
- Jacksonville, NC
- NPI 1699306803
-
dba A Beautiful Smile
- General Practice Dentistry
- Jacksonville, NC
- NPI 1285513382
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1083728125
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
- Sudie Brown Gorges
- Robert Gorlach, LCSW
- Goshen Medical Center Incorporated (Goshen Medical Center - Wilmington)
- Goshen Medical Center Incorporated (Pelican Family Medicine - Wrightsville Ave)
- Goshen Medical Center Incorporated (Pelican Family Medicine - Carolina Beach)
- Bernard Gottschalk, MD
- Hormoze A Goudarzi, M.D.
- Kamran Goudarzi, M.D.
- Cailyn Grace Gould
- Martin Scott Gould, DDS, MS
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.