DR. Jacob Dylan Merryman, DDS
NPI #1104089903 in Queensbury, New York
Provider Information
- NPI Number
- 1104089903
- Entity Type
- Individual
- Name
- DR. Jacob Dylan Merryman, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 2, 2008
- Last Updated
- Jul 30, 2009
Practice Location
- Address
- 453 DIXON RD
- Address 2
- SUITE #3
- City
- Queensbury
- State
- New York
- ZIP Code
- 12804-1964
- Phone
- (518) 793-3553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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