Matthew J. Allen, D.D.S., L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DN012627 Issued in GA

Legal business name

MATTHEW J. ALLEN, D.D.S., L.L.C.

Doing business as

Godley Station Dental

Practice address

1000 Towne Center Blvd
Suite 101
Pooler, GA 31322-4052

Phone

(912) 748-8585

Fax

(912) 748-8505

NPI assigned

Mar 3, 2015

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, DDS

Title

Owner

Phone

(912) 748-8585

Specialties & licenses 1

Addresses

Other names 1

• Godley Station Dental Doing business as

Locations

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1598157364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "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",
            "address_2": "SUITE 101",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "912-748-8585",
            "fax_number": "912-748-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. ALLEN, D.D.S., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "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": "912-748-8585",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Godley Station Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara M Martinez, APRN
• Biby Giovanna Martinez, BT
• Alyssa Marie Mast, BS
• Alexa Mastando
• Diane Lea Masters, M.D.
• Dela Matthew
• Christopher Maultsby
• Tina Maynor
• Caitlin McCaffrey
• Khaturah McCarthan

• Dentist in Pooler, GA
• Providers in Pooler, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.