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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMIAH D GORDON, DMD, PA

Active Organization

JEREMIAH D GORDON, DMD, PA is a General Dentistry organization located in ST AUGUSTINE, Florida. NPI 1376781864 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ST AUGUSTINE, FL

Registration Details

NPI Number
1376781864
Provider Type
Organization
NPI Issued
Jan 22, 2009 (17.376122766771 yrs)
Last Updated
Jan 22, 2009
License
16348 (FL)

Practice Information

Address
53 WILLOW DR
ST AUGUSTINE, FL, 320805936
Browse FL providers · Browse ZIP 32080
Phone
9044715336
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.