DR. JEREMIAH DANIEL GORDON


Address: 135 Jenkins St, Suite 105a, St Augustine, FL 32086-5175
Phone: 9044600999

DR. JEREMIAH DANIEL GORDON (NPI# 1497870646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497870646
Entity Type Individual
Full Name DR. JEREMIAH DANIEL GORDON
Credential DMD
Practice Address 135 Jenkins St
Suite 105a
St Augustine
FL 32086-5175
Mailing Address 53 Willow Dr
St Augustine
FL 32080-5936
Practice Telephone 9044600999
Practice Fax Number 9044600999
Enumeration Date 2007-03-20
Last Update Date 2009-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DN16348 FL Dental Providers

Office Location

Street Address 135 JENKINS ST
SUITE 105A
City ST AUGUSTINE
State FL
Zip Code 32086-5175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568785426 Dr Ted Brink & Associates Optometrist 135 Jenkins St, Ste104, St Augustine, FL 32086-5175 2010-03-08
1750610986 Pearle Vision Inc Eyewear Supplier (Equipment, not the service) 135 Jenkins St, Cobblestone Village Ste #104, St Augustine, FL 32086-5175 2009-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670037 Ramonica Flagler Nurse Practitioner 3574 Us-1 South, St. Augustine, FL 32086 2019-10-14
1518522648 Marissa Marie Lynch Physician Assistant 100 Whetstone Pl Ste 102, St Augustine, FL 32086 2019-05-03
1346706991 Castillo Transportation Non-emergency Medical Transport (VAN) 295 North Hidden Tree Dr, Saint Augustine, FL 32086 2019-02-19
1790255842 Michelle Moore In Home Supportive Care 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 2018-12-03
1649740200 Paul James Lietz IIi Physical Therapist One Orthopedic Place, Saint Augustine, FL 32086 2018-11-27
1548764707 Oceanside Endodontics Od St. Augustine Dentist 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 2018-03-22
1023538329 Joseph R Edwards Physical Therapist 968 Espinado Avenue, St Augustine, FL 32086 2017-06-27
1235662032 Jennifer L Csenge Dentist 4327 Us Highway 1 S, St Augustine, FL 32086 2017-04-07
1336683663 Lisa Brice Social Worker 248 Southpark Circle East, Saint Augustine, FL 32086 2016-12-06
1558813303 Bio-medical Applications of Florida, Inc. Clinic/Center 65 Whitehall Drive, Saint Augustine, FL 32086 2016-10-27
Find all providers in zip 32086

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780200634 Phillip Forbes Dentist 405 S Ponce De Leon Blvd, St Augustine, FL 32084-4219 2020-06-17
1861048043 Tanjeet Cheema Dentist 1980 Us Highway 1 S, St Augustine, FL 32086-4233 2019-08-14
1073035911 Rusha G Awad Dentist 46 Tuscan Way Ste 306, St Augustine, FL 32092-1849 2017-07-12
1770817389 Emily Weldon Tyler Dentist 2510 Us Highway 1 S, Suite B, St Augustine, FL 32086-6100 2009-09-29
1982868634 Steven R. Freeman Dds Pl Dentist 319 W Town Pl Ste 21, St Augustine, FL 32092-3103 2008-07-11
1053578690 Maria Zita Narvaez Dentist 303a Anastasia Blvd, St Augustine, FL 32080-4506 2008-05-21
1972789725 Michael Andrew Versaggi Dentist 150 Malaga St, St Augustine, FL 32084-3521 2008-01-10
1720284698 Rex Beasom Painter Dentist 10 Dolphin Dr, St Augustine, FL 32080-4531 2007-06-26
1194943076 Gregory Tarantola Dentist 559 W Twincourt Trl, 606, St Augustine, FL 32095-8805 2007-04-23
1407966542 Henry James Tabeling Dentist 117 Saint Andrews Place Dr, St Augustine, FL 32092-0774 2006-08-30
Find all providers in ST AUGUSTINE

Competitor

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City ST AUGUSTINE
Zip Code 32086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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