| Benjamin N. Diller, Dds, Pa | |
|
1200 S 14th St Fernandina Beach FL 32034-3043 | |
| (904) 261-0851 | |
| (904) 261-5002 |
| Full Name | Benjamin N. Diller, Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1200 S 14th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Benjamin N Diller (PRESIDENT) |
| Authorized Official Contact | 4195096865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin N. Diller, Dds, Pa 1200 S 14th St Fernandina Beach FL 32034-3043 Ph: (904) 261-0851 | Benjamin N. Diller, Dds, Pa 1200 S 14th St Fernandina Beach FL 32034-3043 Ph: (904) 261-0851 |
| NPI Number | 1811380983 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811380983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN21074 (Florida) | Primary |
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