Diller, Benjamin Nolan

Diller, Benjamin Nolan is an individual health care provider with primary practice located at 1200 S 14Th St , Fernandina Beach FL 32034-3043. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Diller, Benjamin Nolan can be contacted via phone (904) 261-0851.

Contact Information

Primary practice address
1200 S 14Th St Fernandina Beach FL 32034-3043
Phone: (904) 261-0851
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-023436 Ohio
Dental Providers / General Practice 1223G0001X DN21074 Florida

Profile Details

NPI number 1073801510
LBN Legal business name Diller, Benjamin Nolan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Mar 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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