Satilla Family Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SATILLA FAMILY SMILES LLC

Practice address

48 Candler Dr Ste 100
Brunswick, GA 31523-8294

Phone

(912) 275-7174

NPI assigned

Feb 14, 2025

Last updated

Feb 14, 2025By 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 John Allen, DDSNPI 1053405290

Title

Ceo

Phone

(912) 275-7174

Specialties & licenses 1

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": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1578368593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CANDLER DR STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315238294",
            "telephone_number": "912-275-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CANDLER DR STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315238294",
            "telephone_number": "912-275-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATILLA FAMILY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-275-7174",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeriel Papa Santos, M.D.
• Michael Jose Santos, MD
• Mark Richard Sardo, DDS
• Nicholas Pablo Sasser, DMD
• Thomas Michael Sasser Jr., M.D.
• Cooper Allison Saussy
• Mykesia Sawyer, LCSW
• Mary Laura Sayers, CF-SLP
• Scarboro Oxygen Services, Inc.
• Misty Michelle Schales, FNP-BC

• General Practice Dentistry in Brunswick, GA
• Providers in Brunswick, 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 Feb 14, 2025; 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.