IndividualActive
Audrey Gordon, D. D. S.
NPI 1760542302 · Pediatric Dentistry · Orangeburg, SC
Provider details
- NPI number
- 1760542302
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D. D. S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3397 (SC)
Specialties & taxonomies
Dental Providers
Practice location
157 Centre St
Orangeburg, SC 29115-6043
Phone: (803) 536-0405
Fax: (803) 536-3533
Approximate (ZIP-level) locationGet directions
Mailing address
157 Centre St
Orangeburg, SC 29115-6043
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.