Jeremiah Daniel Gordon in St Augustine - Dentist
Jeremiah Daniel Gordon - NPI 1497870646
Jeremiah Daniel Gordon is a Dentist in St Augustine, Florida. Jeremiah Daniel Gordon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeremiah Daniel Gordon is 1497870646. The last update date is 2009-02-11.
Jeremiah Daniel Gordon's current location address is 135 Jenkins St, St Augustine, Florida. You can contact this provider via phone number 9044600999 and fax number 9044600999. The mailing address for Jeremiah Daniel Gordon is 135 Jenkins St, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremiah Daniel Gordon |
|---|---|
| Address | 135 Jenkins St, St Augustine, Florida |
| Phone Number | 9044600999 |
| Fax Number | 9044600999 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1497870646 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2009-02-11 |
Provider Mailing Address Detail
| Address | 135 Jenkins St |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320865175 |
| Phone Number | 9044600999 |
| Fax Number | 9044600999 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN16348 |
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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: denti |
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What is the unique identifier code issued to Jeremiah Daniel Gordon by the Centers for Medicare & Medicaid Services?
The Jeremiah Daniel Gordon has been assigned the NPI (National Provider Identifier) 1497870646. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeremiah Daniel Gordon is located?
The Jeremiah Daniel Gordon is situated at the following address: 135 Jenkins St, St Augustine, FL, 320865175.
What is Jeremiah Daniel Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeremiah Daniel Gordon is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Jeremiah Daniel Gordon's 1497870646 issued?
The Jeremiah Daniel Gordon's 1497870646 was issued on 2007-03-20.
As of what date were the details pertaining to Jeremiah Daniel Gordon last refreshed?
The information related to the Jeremiah Daniel Gordon, including its address, specialty, and other relevant details, was last updated on 2009-02-11.