Individual provider · Type 1 NPI

Gary L. Revercomb, DMD

General Practice Dentistry · Manlius, NY

NPI number 1649371501 Active

Practice location

8076 Cazenovia Rd
Manlius, NY 13104

Call (315) 682-8400 Map

Fax (315) 682-2602

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X030581 (NY)

General Practice Dentistry: 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.

5 other providers at this address

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About NPI 1649371501

Gary L. Revercomb, DMD's National Provider Identifier is 1649371501, issued on Sep 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manlius, NY. The record was last updated on Jul 8, 2007.