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GARY L. REVERCOMB, DMD
NPI 1245521012
Dentist - General Practice in Manlius, NY

Active since April 27, 2011
8076 CAZENOVIA RD, MANLIUS, NY 13104(315) 682-8400(315) 682-2602 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary L. Revercomb, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY L. REVERCOMB, DMD (NPI 1245521012) is a healthcare organization registered as a general practice in Manlius, New York and active in the NPI registry since April 2011. The organization lists Gary L Revercomb, Dentist, as its authorized official.

NPPES Registry Identity

NPI1245521012
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGARY L. REVERCOMB, DMD
Location Address8076 CAZENOVIA RDManlius, NY 13104-9218
Mailing Address8076 Cazenovia RdManlius, NY 13104-9218 · (315) 682-8400 · Fax (315) 682-2602
Phone(315) 682-8400
Fax(315) 682-2602
Organization SubpartNo
Authorized OfficialGary L RevercombDentist · (315) 682-8400
Enumeration DateApril 27, 2011
✔ NPI 1245521012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 030581
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8076 CAZENOVIA RD, Manlius, NY 13104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ISIDORE BOULE D.D.S.
Dentist (General Practice)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 682-5200
DR. DAVID M KONYS DDS,MS
Dentist (Orthodontics and Dentofacial Orthopedics)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 682-5138
GARY L REVERCOMB DMD
Dentist (General Practice)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 682-8400
JACOB L REVERCOMB DDS
Dentist (General Practice)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 682-8400
CAROLYN BRADFORD DRAGON DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 278-0987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary L. Revercomb, Dmd's NPI number?

The NPI number for Gary L. Revercomb, Dmd is 1245521012. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Gary L. Revercomb, Dmd located?

Gary L. Revercomb, Dmd is located at 8076 Cazenovia Rd, Manlius, NY 13104. The listed phone number is (315) 682-8400.

What is Gary L. Revercomb, Dmd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gary L. Revercomb, Dmd was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.