Individual provider · Type 1 NPI

Jacob Dylan Merryman, DDS

Dentist · Queensbury, NY

NPI number 1104089903 Active

Practice location

453 Dixon Rd, Suite #3
Queensbury, NY 12804-1964

Mailing address

24 Pearl St, Apt #1
Schuylerville, NY 12871-1407

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X50 054420 (NY)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104089903

Jacob Dylan Merryman, DDS's National Provider Identifier is 1104089903, issued on Jul 2, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Queensbury, NY. The record was last updated on Jul 30, 2009.