Andrea Thomas Gordon, D.D.S.

General Practice Dentistry · Saint Louis, MO

Individual Active NPI

NPI number 1295725992

Practice location

1408 N Kingshighway Blvd
Suite 110
Saint Louis, MO 63113-1400
Phone
(314) 361-6767
Fax
(314) 361-1480

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NPI record

NPI
1295725992
Entity type
Individual (Type 1)
Enumeration date
October 24, 2005
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 013689 MO

About Dr. Gordon

Andrea Thomas Gordon, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400. The NPI number 1295725992 was assigned on October 24, 2005 and the record was last updated on July 8, 2007.

Dr. Gordon lists a license in the registry: #013689 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andrea Thomas Gordon, D.D.S.?

The NPI number is 1295725992.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (314) 361-6767.

Where is Dr. Gordon located?

1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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