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GORDON DENTAL ASSOCIATES
NPI 1376781864
Dentist - General Practice in St Augustine, FL

Active since January 22, 2009
53 WILLOW DR, ST AUGUSTINE, FL 32080(904) 471-5336 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon Dental Associates NPPES

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

GORDON DENTAL ASSOCIATES (NPI 1376781864) is a healthcare organization registered as a general practice in St Augustine, Florida and active in the NPI registry since January 2009. The organization lists Jeremiah D Gordon, Dentis/owner, as its authorized official.

NPPES Registry Identity

NPI1376781864
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEREMIAH D GORDON, DMD, PA
Location Address53 WILLOW DRSt Augustine, FL 32080-5936
Mailing Address135 Jenkins St, Suite 105aSt Augustine, FL 32086-5175 · (904) 460-0999
Phone(904) 471-5336
Organization SubpartNo
Authorized OfficialJeremiah D GordonDentis/owner · (904) 460-0999
Enumeration DateJanuary 22, 2009
✔ NPI 1376781864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 16348
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.
53 WILLOW DR, St Augustine, FL 32080
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Other Names 1

Doing Business AsGordon Dental Associates

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

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 Jeremiah D Gordon, Dmd, PA's NPI number?

The NPI number for Jeremiah D Gordon, Dmd, PA is 1376781864. It was assigned to this organization in the NPPES registry on January 22, 2009. The provider is doing business as Gordon Dental Associates.

Where is Jeremiah D Gordon, Dmd, PA located?

Jeremiah D Gordon, Dmd, PA is located at 53 Willow Dr, St Augustine, FL 32080. The listed phone number is (904) 471-5336.

What is Jeremiah D Gordon, Dmd, PA'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 Jeremiah D Gordon, Dmd, PA was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.