Jeremiah D Gordon, DMD, PA
Jeremiah D Gordon, DMD, PA provides General Practice Dentistry in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2009.
- Licensed in
- FL
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
53 Willow DrSt Augustine, FL 32080-5936 Not confirmed with CMS for 17 years — call before visiting
Phone: (904) 471-5336
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 16348 (FL) |
|---|
Record details
| NPI number | 1376781864 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremiah Gordon — Dentis/Owner · (904) 460-0999 |
| Other names | Gordon Dental Associates |
| NPI enumerated | January 22, 2009 |
| Last updated in NPPES | January 22, 2009 |
| Mailing address | 135 Jenkins St, Suite 105a, St Augustine, FL 32086-5175 |
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