DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB DYLAN MERRYMAN, DDS

Active Sole Proprietor

DR. JACOB DYLAN MERRYMAN, DDS is a Dentist healthcare provider located in QUEENSBURY, New York. NPI 1104089903 is currently active in the NPPES registry. Verify at CMS.

Dentist · QUEENSBURY, NY

Registration Details

NPI Number
1104089903
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2008 (18.133285662394 yrs)
Last Updated
Jul 30, 2009
License
50 054420 (NY)
Sole Proprietor
Yes

Practice Information

Address
453 DIXON RD
SUITE #3
QUEENSBURY, NY, 128041964
Browse NY providers · Browse ZIP 12804
Phone
5187933553
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in QUEENSBURY, NY

Name Credential NPI
KATHRYN STRASSNER DDS 1942364633
WILLIAM SLATER CARON DMD 1699810440
WILLIAM DANIEL BILLINGTON DMD 1073640231
DR. CLAIRE ANNA KIEHL D. D. S. 1033492244
DR. LAURA J CLOKE D.D.S. 1154663060
DR. MARK A FRANKLIN DDS 1467865618
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.