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SUSAN LEE GORDON D.D.S.
NPI 1770696148
Dentist - General Practice in Saint Petersburg, FL

Active since August 17, 2006
10000 BAY PINES BLVD., SAINT PETERSBURG, FL 33744(727) 398-6661 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Lee Gordon D.d.s. NPPES

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

SUSAN LEE GORDON D.D.S. (NPI 1770696148) is an individual general practice provider in Saint Petersburg, Florida, licensed in Florida (DN10330) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1770696148
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUSAN LEE GORDONCredential: D.D.S.
Location Address10000 BAY PINES BLVD.Saint Petersburg, FL 33744
Mailing Address1059 Sable Ct NeSaint Petersburg, FL 33702-2783 · (727) 528-3211
Phone(727) 398-6661
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770696148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in FL · DN10330✔ Licensed in CA · 28188
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.

10000 BAY PINES BLVD., Saint Petersburg, FL 33744
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Other Providers at the Same Location NPPES 20

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

DR. ANITA K. TRUITT PHARMD.
Pharmacist
10000 BAY PINES BLVD.
BAY PINES, FL 33744
Pinellas County (727) 398-6661
MR. ERIC ROBERT MATHOS RPH
Pharmacist
10000 BAY PINES BLVD.
BAY PINES, FL 33744
Pinellas County (727) 398-6661
DR. WILLIAM EDWARD DOLAN PHARM.D.
Pharmacist
10000 BAY PINES BLVD., 119 (PHARMACY)
BAY PINES, FL 33744
Pinellas County (727) 398-6661
MRS. BEVERLY LOUISE SMITH-TILLERY CRNA
Nurse Anesthetist, Certified Registered
10000 BAY PINES BLVD.
BAY PINES, FL 33744
Pinellas County (727) 398-6661
DR. DONNA LANGE SCHEITLER AU.D.
Audiologist
10000 BAY PINES BLVD.
ST. PETERSBURG, FL 33744
Pinellas County (727) 398-6661
REBECCA G SCHAFER R.D., C.D.E.
Dietitian, Registered
10000 BAY PINES BLVD.
BAY PINES, FL 33744
Pinellas County (727) 398-6661
MRS. SANDRA S. DUNN MSW, LCSW
Social Worker (Clinical)
10000 BAY PINES BLVD.
SAINT PETERSBURG, FL 33744
Pinellas County (727) 391-4994
MR. JONATHAN RICHARD WADE SR. LCSW
Social Worker (Clinical)
10000 BAY PINES BLVD., DOM C-180
BAY PINES, FL 33744
Pinellas County (727) 398-6661

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 Susan Gordon's NPI number?

The NPI number for Susan Gordon is 1770696148. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Susan Gordon located?

Susan Gordon practices at 10000 Bay Pines Blvd., Saint Petersburg, FL 33744. The listed phone number is (727) 398-6661.

What is Susan Gordon'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 Susan Gordon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.