Organization Active NPI

Michael T Allen DDS, LLC

  • Dental Clinic/Center
  • Thomaston, GA
National Provider Identifier
1942136841
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL T ALLEN DDS, LLC
Practice address
419 N Church St
Thomaston, GA 30286-3611
Phone
(706) 647-7111
Fax
(706) 646-9692
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Glenda Allen, SPOUSE
Title
Office Manaer
Phone
(706) 975-6429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

419 N Church St
Thomaston, GA 30286-3611

Mailing address

419 N Church St
Thomaston, GA 30286-3611
Phone (706) 647-7111

National Provider Directory

National Provider Directory

Locations

419 N Church St
Thomaston, GA 30286
Phone (706) 647-7111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1942136841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N CHURCH ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863611",
            "telephone_number": "706-647-7111",
            "fax_number": "706-646-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N CHURCH ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863611",
            "telephone_number": "706-647-7111",
            "fax_number": "706-646-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T ALLEN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OFFICE MANAER",
        "authorized_official_telephone_number": "706-975-6429",
        "authorized_official_credential": "SPOUSE"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.