Jeremiah D Gordon, Dmd, Pa is a Dental Clinic in St Augustine, Florida. It is located at 53 Willow Dr, St Augustine, FL and its contact number is 904-471-5336. The authorized person for Jeremiah D Gordon, Dmd, Pa is Dr. Jeremiah D Gordon
who is Dentis/owner of the clinic and their contact number is 904-460-0999. The primary license number for Jeremiah D Gordon, Dmd, Pa is 16348 (General Practice) in Florida.
Jeremiah D Gordon, Dmd, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jeremiah D Gordon, Dmd, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jeremiah D Gordon, Dmd, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 53 Willow Dr, St Augustine,
Florida, 32080-5936 |
| Phone: | 904-471-5336 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jeremiah D Gordon |
| Position: | Dentis/owner |
| Contact Number: | 904-460-0999 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jeremiah D Gordon, Dmd, Pa clinic are as mentioned below.
| NPI Number: | 1376781864 |
| NPI Enumeration Date: | 22 Jan, 2009 |
| NPI Last Update On: | 22 Jan, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeremiah D Gordon, Dmd, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 16348 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeremiah D Gordon, Dmd, Pa
135 Jenkins St, Suite 105a
St Augustine, Florida |
| Zip: | 32086-5175 |
| Phone Number: | 904-460-0999 |
Patients can reach Jeremiah D Gordon, Dmd, Pa at
53 Willow Dr, St Augustine, Florida or can
call to book an appointment on 904-471-5336.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.