DR. AUDREY E GORDON D. D. S.
NPI 1760542302
Dentist - Pediatric Dentistry in Orangeburg, SC

Q: What is Audrey Gordon's NPI number?

The NPI number for Audrey Gordon is 1760542302. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Audrey Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 12, 2006

157 CENTRE ST, ORANGEBURG, SC 29115(803) 536-0405(803) 536-3533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Audrey E Gordon D. D. S. NPPES

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

DR. AUDREY E GORDON D. D. S. (NPI 1760542302) is an individual pediatric dentistry provider in Orangeburg, South Carolina, licensed in South Carolina (3397) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1760542302

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. AUDREY E GORDONCredential: D. D. S.

Location Address157 CENTRE STOrangeburg, SC 29115-6043

Mailing Address157 Centre StOrangeburg, SC 29115-6043 · (803) 536-0405 · Fax (803) 536-3533

Phone(803) 536-0405

Fax(803) 536-3533

Sole ProprietorYes

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760542302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in SC · 3397

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

157 CENTRE ST, Orangeburg, SC 29115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BEST Life and more.Insurance ›

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 Audrey Gordon's NPI number?

The NPI number for Audrey Gordon is 1760542302. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Audrey Gordon located?

Audrey Gordon practices at 157 Centre St, Orangeburg, SC 29115. The listed phone number is (803) 536-0405.

What is Audrey Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Audrey Gordon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 10 other insurers list Audrey Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.