DR. JEREMIAH DANIEL GORDON (DMD) – Dentist, NPI 1497870646

DR. JEREMIAH DANIEL GORDON (DMD) is a healthcare provider. based in St augustine, Florida. specializing in Dentist. They hold the professional credentials DMD. They hold a License No. DN16348 (FL). The NPI Number for DR. JEREMIAH DANIEL GORDON (DMD) is 1497870646

Main info

Male
Name
DR. JEREMIAH DANIEL GORDON (DMD)
NPI
1497870646
Phone
(904) 460-0999
Address
135 JENKINS ST
Enumeration Date
20 March 2007
Last Update Date
11 February 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JEREMIAH DANIEL GORDON (DMD)

  • 135 JENKINS ST

    SUITE 105A

    ST AUGUSTINE, FL 320865175

    Phone: (904) 460-0999

    Fax: (904) 460-0999

    Type: Location

  • 53 WILLOW DR

    ST AUGUSTINE, FL 320805936

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $327.

Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Ultradent Products Inc ($314).

Total Amount

$327

General + Research + Ownership

Payments

4

Total payment records

General Amount

$327

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32086)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. JEREMIAH DANIEL GORDON (DMD)?
NPI 1497870646 is assigned to DR. JEREMIAH DANIEL GORDON (DMD) under the national enumeration system.
Does this profile mean DR. JEREMIAH DANIEL GORDON (DMD) is currently active?
Yes — DR. JEREMIAH DANIEL GORDON (DMD) appears active in the national provider directory.
Does DR. JEREMIAH DANIEL GORDON (DMD) list a primary specialty?
If you are matching referrals, note Dentist for DR. JEREMIAH DANIEL GORDON (DMD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JEREMIAH DANIEL GORDON (DMD)?
The page summarizes St Augustine, Florida for DR. JEREMIAH DANIEL GORDON (DMD); expand the address list for detail.
How can I contact DR. JEREMIAH DANIEL GORDON (DMD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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