Dr. Andrea T. Gordon Dds,Llc

LBN: Dr. Andrea T. Gordon Dds,Llc
Dr. Andrea T. Gordon Dds,Llc is an health care organization with primary practice located at 1408 N Kingshighway Blvd , Saint Louis MO 63113-1400. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dr. Andrea T. Gordon Dds,Llc can be contacted via phone (314) 361-6767, or through Gordon, Andrea T. via phone (314) 361-6767.

Contact Information

Primary practice address
1408 N Kingshighway Blvd Saint Louis MO 63113-1400
Phone: (314) 361-6767
Fax: (314) 361-1480
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Andrea T. Doctor of Dental Surgery (DDS)
Phone: (314) 361-6767

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 013689 Missouri

Profile Details

NPI number 1073887642
LBN Legal business name Dr. Andrea T. Gordon Dds,Llc
DBA Doing business as
Authorized official Gordon, Andrea T. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2012
Last updated Feb 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073887642 NPPES
Missouri MEDICAID 401900311
Missouri Other 979390
Missouri Other 3051

Popular Providers