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

Gary L. Revercomb, DMD

Organization General Practice Dentistry · NPI 1245521012

Gary L. Revercomb, DMD is a General Practice Dentistry in Manlius, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

8076 Cazenovia Rd
Manlius, NY 13104-9218
Phone: (315) 682-8400
Fax: (315) 682-2602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 030581 (NY)

Record details

NPI number1245521012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Revercomb — Dentist · (315) 682-8400
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 27, 2011
Mailing address8076 Cazenovia Rd, Manlius, NY 13104-9218

Other providers in Manlius