Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Dylan Merryman, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104089903

Dr. Jacob Dylan Merryman, DDS is a Student in an Organized Health Care Education/Training Program in Queensbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

453 Dixon Rd Ste #3
Queensbury, NY 12804-1964
Phone: (518) 793-3553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 50 054420 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104089903
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 2, 2008
Last updated in NPPESJuly 30, 2009
Mailing address24 Pearl St, Apt #1, Schuylerville, NY 12871-1407

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