| Patrick Endodontics | |
|
9 Yacht Club Drive Ne Fort Walton Beach FL 32548 | |
| (850) 243-7977 | |
| (850) 244-1860 |
| Full Name | Patrick Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9 Yacht Club Drive Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Jeremiah Daniel Patrick (CEO) |
| Authorized Official Contact | 8502437977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Endodontics 9 Yacht Club Drive Ne Fort Walton Beach FL 32548 Ph: (850) 243-7977 | Patrick Endodontics 9 Yacht Club Drive Ne Fort Walton Beach FL 32548 Ph: (850) 243-7977 |
| NPI Number | 1154096097 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154096097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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