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Organization
JEREMIAH D. PATRICK, D.M.D., P.A.
Active
Organization
JEREMIAH D. PATRICK, D.M.D., P.A.
Active
Other names
Patrick Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH DANIEL PATRICK DMD (CEO)
(850) 808-3636
Entity
Organization
Contact information
Practice address
207 PELHAM RD, FORT WALTON BEACH, FL 32547-3604
(850) 808-3636
Mailing address
207 PELHAM RD, FORT WALTON BEACH, FL 32547-3604
(850) 808-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
02/02/2026
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