1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Dentist
  6. NPI Profile

DR. ANDREA T. GORDON DDS,LLC
NPI 1073887642
Dentist - General Practice in Saint Louis, MO

Active since February 29, 2012
1408 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113(314) 361-6767(314) 361-1480 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrea T. Gordon Dds,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA T. GORDON DDS,LLC (NPI 1073887642) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since February 2012. The organization lists Andrea T. Gordon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1073887642
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR. ANDREA T. GORDON DDS,LLC
Location Address1408 N KINGSHIGHWAY BLVDSaint Louis, MO 63113-1400
Mailing Address1408 N Kingshighway BlvdSaint Louis, MO 63113-1400 · (314) 361-6767 · Fax (314) 361-1480
Phone(314) 361-6767
Fax(314) 361-1480
Organization SubpartNo
Authorized OfficialAndrea T. GordonDentist · (314) 361-6767
Enumeration DateFebruary 29, 2012
✔ NPI 1073887642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 013689
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1408 N KINGSHIGHWAY BLVD, Saint Louis, MO 63113
Open in Google Maps ↗

Other Identifiers 3

Other979390MO · United Concordia
Other3051MO · Dentaquest
Medicaid401900311MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA THOMAS GORDON D.D.S.
Dentist (General Practice)
1408 N KINGSHIGHWAY BLVD, SUITE 110
SAINT LOUIS, MO 63113
St. Louis City (314) 361-6767
LORYS LOVING CARE IN HOME LLC
Home Health
1408 N KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63113
St. Louis City (314) 449-3365
MR. CHARLES T STATON SR.
Technician/Technologist (Optician)
1408 N KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63113
St. Louis City (314) 361-8283
CITY DIAGNOSTICS LLC
Preferred Provider Organization
1408 N KINGSHIGHWAY BLVD, SUITE 224
SAINT LOUIS, MO 63113
St. Louis City (314) 696-2489
LARRY PAUL STEWART MD
Ophthalmology
1408 N KINGSHIGHWAY BLVD, SUITE 110
SAINT LOUIS, MO 63113
St. Louis City (314) 361-8283
LORY'S LOVING CARE LLC
Home Health
1408 N KINGSHIGHWAY BLVD, 103A
SAINT LOUIS, MO 63113
St. Louis City (314) 665-6361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Andrea T. Gordon Dds,llc's NPI number?

The NPI number for Dr. Andrea T. Gordon Dds,llc is 1073887642. It was assigned to this organization in the NPPES registry on February 29, 2012.

Where is Dr. Andrea T. Gordon Dds,llc located?

Dr. Andrea T. Gordon Dds,llc is located at 1408 N Kingshighway Blvd, Saint Louis, MO 63113. The listed phone number is (314) 361-6767.

What is Dr. Andrea T. Gordon Dds,llc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dr. Andrea T. Gordon Dds,llc was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.