| Jeremiah D. Patrick, D.m.d., P.a. | |
|
207 Pelham Rd Fort Walton Beach FL 32547-3604 | |
| (850) 808-3636 | |
| Not Available |
| Full Name | Jeremiah D. Patrick, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 207 Pelham Rd, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Jeremiah Daniel Patrick (CEO) |
| Authorized Official Contact | 8508083636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah D. Patrick, D.m.d., P.a. 207 Pelham Rd Fort Walton Beach FL 32547-3604 Ph: (850) 808-3636 | Jeremiah D. Patrick, D.m.d., P.a. 207 Pelham Rd Fort Walton Beach FL 32547-3604 Ph: (850) 808-3636 |
| NPI Number | 1154096097 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 02/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154096097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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