Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah D. Patrick, DMD, PA

Organization Endodontics · NPI 1154096097

Jeremiah D. Patrick, DMD, PA is an Endodontics in Fort Walton Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 Pelham Rd
Fort Walton Beach, FL 32547-3604
Phone: (850) 808-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1154096097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremiah Patrick — Ceo · (850) 808-3636
Other names Patrick Endodontics
NPI enumeratedAugust 12, 2021
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address207 Pelham Rd, Fort Walton Beach, FL 32547-3604

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