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Dr. Andrea T. Gordon DDS,LLC

General Practice Dentistry in Saint Louis, MO · enumerated 2012 · authorized official Andrea Gordon, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073887642

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Registry record

Entity type Organization (Type 2)
Legal business name Dr. Andrea T. Gordon DDS,LLC
Practice address 1408 N Kingshighway Blvd, Saint Louis, MO, 63113
Phone (314) 361-6767
Fax (314) 361-1480
Enumeration date Feb 29, 2012
Last updated in NPPES Feb 29, 2012

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 013689 (MO) Primary

Authorized official

Name Andrea Gordon
Title Dentist
Phone (314) 361-6767

Other identifiers

Identifier Type State Issuer
401900311 Medicaid MO -
979390 Other MO UNITED CONCORDIA
3051 Other MO DENTAQUEST

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Dr. Andrea T. Gordon DDS,LLC?
The NPI for Dr. Andrea T. Gordon DDS,LLC is 1073887642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dr. Andrea T. Gordon DDS,LLC?
NPPES lists Andrea Gordon (Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-29.