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Gary L. Revercomb, Dmd
General Practice Dentistry in Manlius, New York
NPI 1245521012

Gary L. Revercomb, Dmd is a General Practice Dentistry based in Manlius, NY and is specialized in General Practice. Gary L. Revercomb, Dmd practices in Manlius, NY. The NPI Number for Gary L. Revercomb, Dmd is 1245521012 and holds a License No. 030581 (New York).

The current practice location address for Gary L. Revercomb, Dmd is 8076 Cazenovia Rd, Manlius, NY and can be reached out via phone at 315-682-8400 and via fax at 315-682-2602.

Location: 8076 Cazenovia Rd, Manlius, NY, 13104-9218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245521012
Provider Name
Gary L. Revercomb, Dmd
Credential
Provider Entity Type
Organization
Address
8076 Cazenovia Rd, Manlius, NY, 13104-9218
Phone Number
315-682-8400
Fax Number
315-682-2602
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8076 Cazenovia Rd
City
Manlius
State
New York
Zip
13104-9218
Phone Number
315-682-8400
Fax Number
315-682-2602
person
Provider Business Mailing Address Details
Address
8076 Cazenovia Rd
City
Manlius
State
New York
Zip
13104-9218
Phone Number
315-682-8400
Fax Number
315-682-2602
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
030581 (New York)
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.
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