DR. ANDREA T. GORDON DDS,LLC
NPI 1073887642
Dentist - General Practice in Saint Louis, MO
- Organization
- Dentist
- General Practice
About DR. ANDREA T. GORDON DDS,LLC
This page provides the complete NPI Profile along with additional information for Dr. Andrea T. Gordon Dds,llc, a provider established in Saint Louis, Missouri operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1073887642 assigned on February 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 013689 (MO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Andrea T. Gordon D.d.s. (Dentist)
- NPI
- 1073887642 Verify this NPI
- Provider Name
- DR. ANDREA T. GORDON DDS,LLC
- Entity Type
- Organization
- Location Address
- 1408 N KINGSHIGHWAY BLVD SAINT LOUIS, MO 63113
- Location Phone
- (314) 361-6767
- Location Fax
- (314) 361-1480
- Mailing Address
- 1408 N KINGSHIGHWAY BLVD SAINT LOUIS, MO 63113
- Mailing Phone
- (314) 361-6767
- Mailing Fax
- (314) 361-1480
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-29-2012
- Last Update Date
- 02-29-2012
- Code Navigator
A dentist like Dr. Andrea T. Gordon Dds,llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 013689
- License State
- MO
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 979390 | OTHER (01) | MO | UNITED CONCORDIA |
| 3051 | OTHER (01) | MO | DENTAQUEST |
| 401900311 | MEDICAID (05) | MO |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63113
SAINT LOUIS, MO 63113
SAINT LOUIS, MO 63113
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073887642, enumerated as an "organization" on February 29, 2012.
The provider is located at 1408 N KINGSHIGHWAY BLVD SAINT LOUIS, MO 63113 and the phone number is (314) 361-6767.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
