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Jeremiah D. Patrick, D.M.D., P.A.

Endodontics in Fort Walton Beach, FL · enumerated 2021 · authorized official Jeremiah Patrick, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154096097

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Registry record

Entity type Organization (Type 2)
Legal business name Jeremiah D. Patrick, D.M.D., P.A.
Other name <Unavail>
Practice address 207 Pelham Rd, Fort Walton Beach, FL, 32547
Phone (850) 808-3636
Enumeration date Aug 12, 2021
Last updated in NPPES Feb 2, 2026

Taxonomy & classification

1223E0200X Endodontics Dental Providers Primary

Authorized official

Name Jeremiah Patrick
Title Ceo
Phone (850) 808-3636

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jeremiah D. Patrick, D.M.D., P.A.?
Jeremiah D. Patrick, D.M.D., P.A. is registered in NPPES as a Endodontics (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-02.