Organization
MATTHEW J. ALLEN, D.D.S., L.L.C.
Active
Other names
Godley Station Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J ALLEN DDS (OWNER)
(912) 748-8585
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 101, POOLER, GA 31322-4052
(912) 748-8585
(912) 748-8505
Mailing address
1000 TOWNE CENTER BLVD, SUITE 101, POOLER, GA 31322-4052
(912) 748-8585
(912) 748-8505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012627
GA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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