Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497870646 Individual Practitioner Male Practitioner

Dr. Jeremiah Daniel Gordon , DMD

Dentist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jeremiah Gordon, DMD is a registered healthcare professional specializing in Dentist in St Augustine, FL. Practice services are available at 135 JENKINS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

135 Jenkins St
Suite 105a

St Augustine, FL 320865175

Telephone 9044600999
Fax 9044600999
Associated Practice Facility / Clinic
🏢 Pearle Vision Inc Facility NPI 1750610986

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
30 Specialists

Practicing in St Augustine, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN16348

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Sarah Hutson , DMD

Dentist - General Practice

NPI 1982185302

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2009

Registered at 135 JENKINS ST, SUITE 105A, ST AUGUSTINE, FL 320865175 (Tel: 9044600999)

📍
Updated Business Mailing Address February 11, 2009

Registered at 53 WILLOW DR, ST AUGUSTINE, FL 320805936

👤
Provider Name / Credentials Updated February 11, 2009

Recorded as JEREMIAH GORDON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2009

Dentist (License #DN16348 in FL)

🟢
Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497870646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: February 11, 2009
Sole Proprietor: No

Mailing Address

53 Willow Dr

St Augustine, FL 320805936

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.