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

Dr. Patrick Pietrzak

Individual provider Dentist · NPI 1003589367

Dr. Patrick Pietrzak is a Dentist in Saint Augustine, Florida. Qualified in 2021, 5 years ago. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

8286 A1A S
Saint Augustine, FL 32080-8307
Phone: (952) 843-3057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN26052 (FL)

Record details

NPI number1003589367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2021
Last updated in NPPESJuly 31, 2021
Certification dateJuly 31, 2021
Mailing address8286 A1a S, Saint Augustine, FL 32080-8307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Saint Augustine