Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremiah Daniel Gordon, DMD

Individual provider Dentist · NPI 1497870646

Dr. Jeremiah Daniel Gordon, DMD is a Dentist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

135 Jenkins St Ste 105A
St Augustine, FL 32086-5175
Phone: (904) 460-0999
Fax: (904) 460-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16348 (FL)

Record details

NPI number1497870646
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESFebruary 11, 2009
Mailing address53 Willow Dr, St Augustine, FL 32080-5936

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