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GARY L REVERCOMB DMD
NPI 1649371501
Dentist - General Practice in Manlius, NY

Active since September 25, 2006
8076 CAZENOVIA RD, MANLIUS, NY 13104(315) 682-8400(315) 682-2602 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 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 1649371501) is an individual general practice provider in Manlius, New York, licensed in New York (030581) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1649371501
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGARY L REVERCOMBCredential: DMD
Location Address8076 CAZENOVIA RDManlius, NY 13104
Mailing Address8076 Cazenovia RdManlius, NY 13104 · (315) 682-8400 · Fax (315) 682-2602
Phone(315) 682-8400
Fax(315) 682-2602
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649371501 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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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
GARY L. REVERCOMB, DMD
Dentist (General Practice)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 682-8400
DR. DAVID M KONYS DDS,MS
Dentist (Orthodontics and Dentofacial Orthopedics)
8076 CAZENOVIA RD
MANLIUS, NY 13104
Onondaga County (315) 682-5138
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 Revercomb's NPI number?

The NPI number for Gary Revercomb is 1649371501. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Gary Revercomb located?

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

What is Gary Revercomb'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 Revercomb was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.