| Gary L. Revercomb, Dmd | |
|
8076 Cazenovia Rd Manlius NY 13104-9218 | |
| (315) 682-8400 | |
| (315) 682-2602 |
| Full Name | Gary L. Revercomb, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8076 Cazenovia Rd, Manlius, New York |
| Authorized Official Name and Position | Gary L Revercomb (DENTIST) |
| Authorized Official Contact | 3156828400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L. Revercomb, Dmd 8076 Cazenovia Rd Manlius NY 13104-9218 Ph: (315) 682-8400 | Gary L. Revercomb, Dmd 8076 Cazenovia Rd Manlius NY 13104-9218 Ph: (315) 682-8400 |
| NPI Number | 1245521012 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245521012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 030581 (New York) | Primary |
Jason D. Henderson, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8179 Cazenovia Rd, Manlius, NY 13104 Phone: 315-685-2246 Fax: 315-682-3914 | |
William H. Karp, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8179 Cazenovia Rd, Manlius, NY 13104 Phone: 315-682-2386 Fax: 315-682-3914 | |
Fayetteville-manlius Oral Surgery, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8240 Cazenovia Rd Ste 60, Manlius, NY 13104 Phone: 315-692-0449 Fax: 315-692-6546 |