DR. ANDREA THOMAS GORDON


Address: 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400
Phone: 3143616767

DR. ANDREA THOMAS GORDON (NPI# 1295725992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295725992
Entity Type Individual
Full Name DR. ANDREA THOMAS GORDON
Credential D.D.S.
Practice Address 1408 N Kingshighway Blvd
Suite 110
Saint Louis
MO 63113-1400
Practice Telephone 3143616767
Practice Fax Number 3143611480
Mailing Telephone 3143616767
Mailing Fax Number 3143611480
Enumeration Date 2005-10-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
013689 MO Dental Providers

Other Providers ANDREA GORDON

NPI Name Taxonomy Address Enumeration
1386192516 Andrea Marie Gordon Licensed Practical Nurse 49 Ranch Village Ln, Rochester, NY 14624-2856 2016-09-16
1114206810 Andrea Beth Gordon Social Worker 50 Penn St, Port Jefferson Station, Port Jefferson Station, NY 11776-3808 2011-08-11
1295861854 Andrea Briget Gordon Marriage & Family Therapist 316 Redondo Ave, Long Beach, CA 90814-2651 2007-02-26
1437203163 Andrea D Gordon Social Worker 325 Manville Rd, Pleasantville, NY 10570-2122 2007-01-22
1184617821 Andrea Margareta Gordon Physical Therapist 5111 Abercorn St, Savannah, GA 31405-5214 2005-08-29
1528585973 Andrea Elizabeth Gordon Pharmacist 5295 34th St S, Saint Petersburg, FL 33711-4517 2017-08-26
1306377023 Andrea Alexis Gordon Registered Nurse 6308 8th Avenue, Ste 202, Kenosha, WI 53143 2017-03-23
1881976868 Andrea M Gordon Physician Assistant 12605 E 16th Ave, Aurora, CO 80045-2545 2011-09-15
1326223116 Andrea Jean Gordon Counselor 4526 Federal Ave, Everett, WA 98203 2007-12-31
1811986292 Andrea E Gordon Family Medicine 195 Canal St, Malden, MA 02148-6701 2005-10-18

Office Location

Street Address 1408 N KINGSHIGHWAY BLVD
SUITE 110
City SAINT LOUIS
State MO
Zip Code 63113-1400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750378675 Larry Paul Stewart Ophthalmology 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 2005-10-05
1679013643 City Diagnostics LLC Preferred Provider Organization 1408 N Kingshighway Blvd, Suite 224, Saint Louis, MO 63113-1400 2017-02-24
1982146478 Lory's Loving Care LLC Home Health 1408 N Kingshighway Blvd, 103a, Saint Louis, MO 63113-1400 2016-11-15
1073887642 Dr. Andrea T. Gordon Dds,llc Dentist 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 2012-02-29
1396927166 Charles T Staton Sr. Technician/Technologist 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 2007-12-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487139937 Kaniya Kashell Smotherman In Home Supportive Care 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 2018-10-01
1124530977 Unique Diamonds, LLC Counselor 4068 Maffitt, St. Louis, MO 63113 2017-11-02
1821507831 Another Day At Life LLC Home Health 1515 N Warson Rd Suite 103, St. Louis, MO 63113 2017-09-21
1124570999 Carestl Health Clinic/Center 4248 Cottage Ave, Saint Louis, MO 63113 2016-10-27
1164801528 Brittany Ashcraft Social Worker 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 2015-05-19
1538596465 Enduring Heart In Home Care Services Home Health 1012 Sarah, Saint Louis, MO 63113 2013-10-10
1386989127 Friends of African Amer. Family Service Center Community/Behavioral Health 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 2012-12-05
1598018202 Shelia Latrese Bradford Home Health 3637 North Market St, St. Louis, MO 63113 2012-10-18
1043587736 Angels Adult Day Care Custodial Care Facility 5021 Northland Avenue, Saint Louis, MO 63113 2011-11-23
1154575033 Debra Lynn Miller Occupational Therapist 3645 Cook Ave., St. Louis, MO 63113 2008-11-05
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801493762 Alexander Ahmadi Dentist 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 2020-10-05
1396353876 Michael Rehme Jr. Dentist 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 2020-07-21
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1013579010 Jasmine Esmailzadegan Dentist 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 2019-07-01
1194295964 Rivka Goldenhersh, D.m.d., LLC Dentist 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 2018-12-04
1952895252 Feras Al Khatib Dentist 7809 Watson Rd, Saint Louis, MO 63119-5408 2018-06-20
1255825675 Brenton Patrick Ruopp Dentist 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 2018-06-19
1598258501 Daniel Thomas Doherty Dentist 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 2018-06-13
1649700964 Adam J Bree Dentist 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 2017-06-19
1811448863 We Care Mobile Dental LLC Dentist 6903 Waterman Ave, Saint Louis, MO 63130-4333 2016-10-14
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Competitor

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City SAINT LOUIS
Zip Code 63113

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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