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DR. JEREMIAH DANIEL GORDON DMD
NPI 1497870646
Dentist in St Augustine, FL

Active since March 20, 2007
135 JENKINS ST, SUITE 105A, ST AUGUSTINE, FL 32086(904) 460-0999(904) 460-0999 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremiah Daniel Gordon Dmd NPPES

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

DR. JEREMIAH DANIEL GORDON DMD (NPI 1497870646) is an individual dentist in St Augustine, Florida, licensed in Florida (DN16348) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1497870646
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEREMIAH DANIEL GORDONCredential: DMD
Location Address135 JENKINS ST, SUITE 105ASt Augustine, FL 32086-5175
Mailing Address53 Willow DrSt Augustine, FL 32080-5936
Phone(904) 460-0999
Fax(904) 460-0999
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 11, 2009
✔ NPI 1497870646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN16348
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
135 JENKINS ST, St Augustine, FL 32086
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Other Providers at the Same Location NPPES 2

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

DR TED BRINK & ASSOCIATES
Optometrist
135 JENKINS ST, STE104
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9251
PEARLE VISION INC
Eyewear Supplier
135 JENKINS ST, COBBLESTONE VILLAGE STE #104
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9251

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 Gordon's NPI number?

The NPI number for Jeremiah Gordon is 1497870646. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jeremiah Gordon located?

Jeremiah Gordon practices at 135 Jenkins St Suite 105A, St Augustine, FL 32086. The listed phone number is (904) 460-0999.

What is Jeremiah Gordon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jeremiah Gordon was last updated on February 11, 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.