Benjamin Russell Daniel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3812 Issued in SC

Practice address

2104B Woodruff Rd
Greenville, SC 29607-5941

Phone

(864) 254-6414

Fax

(864) 254-6454

NPI assigned

Dec 13, 2006

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ben Daniel DMD, PA

  • Dental Clinic/Center
  • Greenville, SC
  • NPI 1619560257
  NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1891856936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104B WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075941",
            "telephone_number": "864-254-6414",
            "fax_number": "864-254-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104B WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075941",
            "telephone_number": "864-254-6414",
            "fax_number": "864-254-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "BENJAMIN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel & Max, LLC (Stanton Optical)
• Daniel & Max, LLC (Stanton Optical)
• Daniel J Haas, LLC (Golden Vision)
• Joanne Daniel-Saunders, M.D.
• Adam Daniel
• Cornelia Lashell Daniel
• Peter Benjamin Daniel, M.D.
• Stephen Clay Daniel, M.D.
• Danielle B Auten Therapy LLC
• Raymond Lee Daniels, DO

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.