Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMIAH DANIEL GORDON, DMD
ActiveDR. JEREMIAH DANIEL GORDON, DMD is a Dentist healthcare provider located in ST AUGUSTINE, Florida. NPI 1497870646 is currently active in the NPPES registry. Verify at CMS.
Dentist · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1497870646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.221114063139 yrs)
- Last Updated
- Feb 11, 2009
- License
-
DN16348 (FL)
Practice Information
- Address
-
135 JENKINS STSUITE 105AST AUGUSTINE, FL, 320865175Browse FL providers · Browse ZIP 32086
- Phone
- 9044600999
- Fax
- 9044600999
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| ROSS H FISHMAN | D.M.D. | 1366417594 |
| DR. GREGORY TARANTOLA | DDS | 1194943076 |
| ATOSA MAHJOORY-KHAN | — | 1174744387 |
| DR. REX BEASOM PAINTER | DDS | 1720284698 |
| DR. MICHAEL ANDREW VERSAGGI | DDS | 1972789725 |
| MRS. MARIA ZITA NARVAEZ | D.D.S | 1053578690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.