Patrick, Jeremiah Daniel

Patrick, Jeremiah Daniel is an individual health care provider with primary practice located at 9 Yacht Club Dr Ne , Fort Walton Beach FL 32548-4469. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Patrick, Jeremiah Daniel can be contacted via phone (850) 243-7977.

Contact Information

Primary practice address
9 Yacht Club Dr Ne Fort Walton Beach FL 32548-4469
Phone: (850) 243-7977
Fax: (850) 244-1860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN24125 Florida

Profile Details

NPI number 1841845161
LBN Legal business name Patrick, Jeremiah Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2019
Last updated Apr 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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