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BENJAMIN N. DILLER, D.D.S., P.A.

BENJAMIN N. DILLER, D.D.S., P.A. - Florida Company Profile

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Company Details

Entity Name:	BENJAMIN N. DILLER, D.D.S., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	24 Feb 2015 (11 years ago)
Document Number:	P15000017809
FEI/EIN Number	47-3248355
Address:	1200 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034, US
Mail Address:	1200 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034, US
ZIP code:	32034
City:	Fernandina Beach
County:	Nassau
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
DILLER BENJAMIN ND.D.S.	President	1200 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034
LUDWIG & SPEER, P.A.	Agent	5151 BELFORT ROAD SOUTH, BLDG.500, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:

1811380983

Link:

View on NPI website

Authorized Person:

Name:

BENJAMIN N DILLER

Role:

PRESIDENT

Phone:

4195096865

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 904-261-0851

Fax:

9042615002

Form 5500 Series

Employer Identification Number (EIN):

473248355

Plan Year:

2024

Number Of Participants:

11

Sponsors Telephone Number:

9042610851

File:

Plan Year:

2023

Number Of Participants:

11

Sponsors Telephone Number:

9042610851

File:

Plan Year:

2022

Number Of Participants:

9

Sponsors Telephone Number:

9042610851

File:

Plan Year:

2021

Number Of Participants:

9

Sponsors Telephone Number:

9042610851

File:

Plan Year:

2020

Number Of Participants:

6

Sponsors Telephone Number:

9042610851

File:

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2016-02-18	1200 SOUTH 14TH STREET, FERNANDINA BEACH, FL 32034	-
CHANGE OF MAILING ADDRESS	2016-02-18	1200 SOUTH 14TH STREET, FERNANDINA BEACH, FL 32034	-

Documents

Name	Date
ANNUAL REPORT	2025-02-04
ANNUAL REPORT	2024-01-15
ANNUAL REPORT	2023-01-18
ANNUAL REPORT	2022-02-28
ANNUAL REPORT	2021-01-19
ANNUAL REPORT	2020-01-13
ANNUAL REPORT	2019-02-18
ANNUAL REPORT	2018-01-11
ANNUAL REPORT	2017-01-17
ANNUAL REPORT	2016-02-18

USAspending Awards / Financial Assistance

Date:

2020-04-11

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

99830.00

Total Face Value Of Loan:

99830.00

Paycheck Protection Program

Jobs Reported:

10

Initial Approval Amount:

$99,830

Date Approved:

2021-02-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$99,830

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$100,975.27

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $99,825
Utilities: $1

Jobs Reported:

9

Initial Approval Amount:

$99,830

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$99,830

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$100,795.02

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $99,830

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Date of last update: 03 Aug 2025

Sources: Florida Department of State