Benjamin N. Diller, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21074 Issued in FL

Legal business name

BENJAMIN N. DILLER, DDS, PA

Practice address

1200 S 14TH St
Fernandina Beach, FL 32034-3043

Phone

(904) 261-0851

Fax

(904) 261-5002

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin N Diller, DDSNPI 1073801510

Title

President

Phone

(419) 509-6865

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Nolan Diller, D.D.S.

  • General Practice Dentistry
  • Fernandina Beach, FL
  • NPI 1073801510
  NPD (past) Authorized official
• Brittany Nicole Day, DDS

  • Dentist
  • Macclenny, FL
  • NPI 1831541572
  NPD (past)
• Robert Johnson

  • General Practice Dentistry
  • Fernandina Beach, FL
  • NPI 1962556480
  NPD (past)

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1811380983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343043",
            "telephone_number": "904-261-0851",
            "fax_number": "904-261-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343043",
            "telephone_number": "904-261-0851",
            "fax_number": "904-261-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN N. DILLER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "DILLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-509-6865",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beall & Associates Inc.
• Byron Frank Beall, LCSW, BCBA
• Noah Clayton-John Beaudry, D.C.
• Robin A Beck, MD
• Sharon Belcher, ARNP
• Scott R Bergquist
• Joshua R Beyl
• Beyond the Couch, LLC
• Kimberly H Bibb, APRN
• Ernest Paul Bicknell III, PSYD

• Dental Clinic/Center in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.