DR. JEREMIAH GORDON, DMD
Dentist
Active
Individual
NPI: 1497870646
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | DN16348 (FL) |
Frequently Asked Questions
NPI 1497870646 is the National Provider Identifier for DR. JEREMIAH GORDON, DMD, a Dentist provider located in St Augustine, FL. This NPI was enumerated on March 20, 2007.
DR. JEREMIAH GORDON, DMD practices at 135 JENKINS ST, SUITE 105A, St Augustine, FL 32086.
Quick Facts
- NPI
- 1497870646
- Type
- Individual
- Enumerated
- Mar 20, 2007
- Last Updated
- Feb 11, 2009
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