Healthcare Provider Details

I. General information

NPI: 1578264297
Provider Name (Legal Business Name): JACQUELINE SAKYIM MERZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W 12TH AVE
COLUMBUS OH
43210
US

IV. Provider business mailing address

11468 RIVER OAKS LN
COMMERCE CITY CO
80640-7722
US

V. Phone/Fax

Practice location:
  • Phone: 614-688-3763
  • Fax:
Mailing address:
  • Phone: 720-938-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00205650
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028317
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: