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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