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JEREMIAH D. PATRICK, D.M.D., P.A.
NPI 1154096097
Dentist - Endodontics in Fort Walton Beach, FL

Active since August 12, 2021
207 PELHAM RD, FORT WALTON BEACH, FL 32547(850) 808-3636 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Aug 12, 2021 (2 updates tracked since 2021).

About Jeremiah D. Patrick, D.m.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH D. PATRICK, D.M.D., P.A. (NPI 1154096097), doing business as Patrick Endodontics, is a healthcare organization registered as an endodontics in Fort Walton Beach, Florida and active in the NPI registry since August 2021. The organization lists Jeremiah Daniel Patrick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154096097
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameJEREMIAH D. PATRICK, D.M.D., P.A.
Location Address207 PELHAM RDFort Walton Beach, FL 32547-3604
Mailing Address207 Pelham RdFort Walton Beach, FL 32547-3604 · (850) 808-3636
Phone(850) 808-3636
Organization SubpartNo
Authorized OfficialJeremiah Daniel PatrickCeo · (850) 808-3636
Enumeration DateAugust 12, 2021
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1154096097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
207 PELHAM RD, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsPatrick Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RODRICK HEATH DEASON D.M.D.
Dentist (Endodontics)
207 PELHAM RD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-3636
DR. JEREMIAH DANIEL PATRICK DMD
Dentist (Endodontics)
207 PELHAM RD
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 808-3636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah D. Patrick, D.M.D., P.A.'s NPI number?

The NPI number for Jeremiah D. Patrick, D.M.D., P.A. is 1154096097. It was assigned to this organization in the NPPES registry on August 12, 2021. The provider is doing business as Patrick Endodontics.

Where is Jeremiah D. Patrick, D.M.D., P.A. located?

Jeremiah D. Patrick, D.M.D., P.A. is located at 207 Pelham Rd, Fort Walton Beach, FL 32547. The listed phone number is (850) 808-3636.

What is Jeremiah D. Patrick, D.M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Jeremiah D. Patrick, D.M.D., P.A. was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.