Organization · Type 2 NPI

Jeremiah D Gordon, Dmd, PA

General Practice Dentistry · St. Augustine, FL

NPI number 1376781864 Active

Practice location

53 Willow Dr
St. Augustine, FL 32080-5936

Call (904) 471-5336 Map

Mailing address

135 Jenkins St, Suite 105A
St. Augustine, FL 32086-5175

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X16348 (FL)

General Practice Dentistry: 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.

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About NPI 1376781864

Jeremiah D Gordon, Dmd, PA's National Provider Identifier is 1376781864, issued on Jan 22, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 22, 2009.