First City Dental LLC

NPI #1275175309 in Pooler, Georgia

Provider Information

NPI Number: 1275175309
Entity Type: Organization
Organization Name: First City Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 10, 2019
Last Updated: Nov 10, 2021

Practice Location

Address: 1000 TOWNE CENTER BLVD BLDG 100 STE 101
City: Pooler
State: Georgia
ZIP Code: 31322-4508
Phone: (912) 385-4134

Authorized Official

Name: MATTHEW J ALLEN, DDS
Title: OWNER
Phone: (912) 385-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist - General Practice — General Practice	1223G0001X	Primary

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