Individual provider · Type 1 NPI

Jeremiah Daniel Gordon, DMD

Dentist · St. Augustine, FL

NPI number 1497870646 Active

Practice location

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

Fax (904) 460-0999

Mailing address

53 Willow Dr
St. Augustine, FL 32080-5936

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN16348 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1497870646

Jeremiah Daniel Gordon, DMD's National Provider Identifier is 1497870646, issued on Mar 20, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 11, 2009.