Matthew J Allen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012627 Issued in GA

Practice address

1000 Towne Center Blvd Ste 101
Pooler, GA 31322-4508

Phone

(912) 748-8585

Fax

(912) 748-8505

NPI assigned

Oct 3, 2006

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First City Dental LLC

  • General Practice Dentistry
  • Pooler, GA
  • NPI 1275175309
  NPD Authorized official
• Satilla Family Smiles LLC

  • General Practice Dentistry
  • Brunswick, GA
  • NPI 1578368593
  NPD Authorized official
• Lexington Family Smiles

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1134901952
  NPD Authorized official
• Matthew J. Allen, D.D.S., L.L.C.

  dba Godley Station Dental

  • Dentist
  • Pooler, GA
  • NPI 1598157364
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1053405290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224508",
            "telephone_number": "912-748-8585",
            "fax_number": "912-748-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224508",
            "telephone_number": "912-748-8585",
            "fax_number": "912-748-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamshad Ahmed, PHD, LPC
• Carina Ashok Akshar, PT, DPT
• Christopher Robin Alden
• Isabelle Mercedes Alegria
• Alexander Bannout DDS, PC (Parkway Center for Cosmetic Dentistry)
• Tamia Allen
• Imani Alston
• Altamaha DME, Inc (Coastal Medical Equipment & Uniforms)
• Miracle Danyelle Alvin
• American Oncology Partners, P.a. (Low Country Cancer Care)

• General Practice Dentistry in Pooler, GA
• Providers in Pooler, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.