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Gary L Revercomb, DMD
General Practice Dentistry in Manlius, New York
NPI 1649371501

Gary L Revercomb is a General Practice Dentistry based in Manlius, NY and is specialized in General Practice. Gary L Revercomb practices in Manlius, NY and has the professional credentials of DMD. The NPI Number for Gary L Revercomb is 1649371501 and holds a License No. 030581 (New York).

The current practice location address for Gary L Revercomb 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649371501
Provider Name
Gary L Revercomb
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
8076 Cazenovia Rd, Manlius, NY, 13104
Phone Number
315-682-8400
Fax Number
315-682-2602
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8076 Cazenovia Rd
City
Manlius
State
New York
Zip
13104
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
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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