First City Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FIRST CITY DENTAL LLC

Practice address

1000 Towne Center Blvd BLDG 100 Ste 101
Pooler, GA 31322-4508

Phone

(912) 385-4134

NPI assigned

Oct 10, 2019

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew J Allen, DDSNPI 1053405290

Title

Owner

Phone

(912) 385-4134

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew J Allen, DDS

  • General Practice Dentistry
  • Pooler, GA
  • NPI 1053405290
  NPD Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1275175309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD BLDG 100, STE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224508",
            "telephone_number": "912-385-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD BLDG 100 STE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224508",
            "telephone_number": "912-385-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CITY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-385-4134",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey N Farrell
• Ronald Faudree, APRN
• Leo Walter Fields Jr., PHARMD
• Natisha Chinole Figueroa
• Heather Finn
• Five Points Healthcare of Ga, LLC (Aveanna Home Health)
• Michael Timothy Fleming, LCPO
• Katherine Fletcher, MS, OTR/L
• Florence Pharmacy LLC (Preferred Pharmacy)
• Jacqueline Denise Flores

• 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 Nov 10, 2021; 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.