OrganizationActive
Jeremiah D Gordon, DMD, PA
NPI 1376781864 · General Practice Dentistry · St Augustine, FL
Jeremiah D Gordon, DMD, PA is a General Practice Dentistry organization in St Augustine, FL (NPI 1376781864).
Provider details
- NPI number
- 1376781864
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeremiah Gordon, Dentis/Owner(904) 460-0999
- License
- 16348 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
53 Willow Dr
St Augustine, FL 32080-5936
Phone: (904) 471-5336
Street-level locationGet directions
Mailing address
135 Jenkins St
St Augustine, FL 32086-5175
Other names (DBA / former)
- Doing business as
- Gordon Dental Associates
Registry dates
- Enumerated
- 2009-01-22
- Last updated
- 2009-01-22
Frequently asked questions
- What is Jeremiah D Gordon, DMD, PA's NPI number?
- Jeremiah D Gordon, DMD, PA's National Provider Identifier (NPI) is 1376781864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeremiah D Gordon, DMD, PA?
- Jeremiah D Gordon, DMD, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jeremiah D Gordon, DMD, PA located?
- Jeremiah D Gordon, DMD, PA's practice location on file with NPPES is 53 Willow Dr, St Augustine, FL 32080-5936.
- What is Jeremiah D Gordon, DMD, PA's phone number?
- The practice phone number listed in the NPPES registry for Jeremiah D Gordon, DMD, PA is (904) 471-5336.
- Who is the authorized official for Jeremiah D Gordon, DMD, PA?
- The authorized official listed on Jeremiah D Gordon, DMD, PA's NPPES record is Jeremiah Gordon, Dentis/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeremiah D Gordon, DMD, PA's NPI active?
- Yes — Jeremiah D Gordon, DMD, PA's NPI (1376781864) is active in the NPPES registry as of the last update on 2009-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.