DR. ANDREA THOMAS GORDON D.D.S. NPI 1295725992

NPI Information

NPI: 1295725992
Provider Name: DR. ANDREA THOMAS GORDON, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1408 N KINGSHIGHWAY BLVD
SUITE 110
SAINT LOUIS, MO
ZIP 63113
Phone: (314) 361-6767
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DR. Andrea Thomas Gordon, D.D.S. is a general practice dentist in Saint Louis, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Andrea Thomas Gordon, D.D.S. NPI is 1295725992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1408 N KINGSHIGHWAY BLVD
SUITE 110
SAINT LOUIS, MO
ZIP 63113-400
Phone: (314) 361-6767
Fax: (314) 361-1480

The enumeration date for this NPI number is 10/24/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	013689	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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