Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073801510 Individual Practitioner Male Practitioner

Dr. Benjamin Nolan Diller , DDS

Dentist - General Practice • Fernandina Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Diller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fernandina Beach, FL. Practice services are available at 1200 S 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 S 14th St

Fernandina Beach, FL 320343043

Telephone 9042610851
Associated Practice Facility / Clinic
🏢 Robert W Johnson, D.d.s., Inc Facility NPI 1366657041

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fernandina Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Fernandina Beach, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN21074

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30-023436

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Robert Johnson

Dentist - General Practice

NPI 1962556480

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2015

Registered at 1200 S 14TH ST, FERNANDINA BEACH, FL 320343043 (Tel: 9042610851)

📍
Updated Business Mailing Address March 12, 2015

Registered at 1200 S 14TH ST, FERNANDINA BEACH, FL 320343043 (Tel: 9042610851)

👤
Provider Name / Credentials Updated March 12, 2015

Recorded as BENJAMIN DILLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2015

Dentist (License #DN21074 in FL)

🟢
Initial NPI Registration & Enumeration July 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073801510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2011
Last Update: March 12, 2015
Sole Proprietor: No

Mailing Address

1200 S 14th St

Fernandina Beach, FL 320343043

Phone: 9042610851

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.