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

Dr. Jeremiah Daniel Patrick, DMD

Individual provider Endodontics · NPI 1841845161

Dr. Jeremiah Daniel Patrick, DMD is an Endodontics in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

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 · Licence DN24125 (FL)

Record details

NPI number1841845161
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 4, 2019
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address207 Pelham Rd, Fort Walton Beach, FL 32547-3604

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