Active NPI
Benjamin Lanier Wheeler, DMD
- Endodontics
- Pooler, GA
National Provider Identifier
1962923268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 015827
- Practice address
- 2321 Pooler Pkwy Ste 112
Pooler, GA 31322-4423 - Phone
- (912) 737-4114
- Fax
- (912) 737-4115
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 015827 | GA | Primary |
Addresses
Primary practice location
2321 Pooler Pkwy Ste 112
Pooler, GA 31322-4423
Mailing address
2321 Pooler Pkwy Ste 112
Pooler, GA 31322-4423
Phone (912) 737-4114
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 |
|---|---|---|---|
| 015827 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1962923268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 POOLER PKWY STE 112",
"city": "POOLER",
"state": "GA",
"postal_code": "313224423",
"telephone_number": "912-737-4114",
"fax_number": "912-737-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 POOLER PKWY STE 112",
"city": "POOLER",
"state": "GA",
"postal_code": "313224423",
"telephone_number": "912-737-4114",
"fax_number": "912-737-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "BENJAMIN",
"middle_name": "LANIER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "015827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.