| Jacob L Revercomb, DDS | |
|
8076 Cazenovia Rd, Manlius, NY 13104 | |
| (315) 682-8400 | |
| (315) 682-2602 |
| Full Name | Jacob L Revercomb |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 8076 Cazenovia Rd, Manlius, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700987674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048833 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob L Revercomb, DDS 8076 Cazenovia Rd, Manlius, NY 13104 Ph: (315) 682-8400 | Jacob L Revercomb, DDS 8076 Cazenovia Rd, Manlius, NY 13104 Ph: (315) 682-8400 |
Dr. Mark Isidore Boule, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8076 Cazenovia Rd, Manlius, NY 13104 Phone: 315-682-5200 Fax: 315-682-2602 | |
Dr. Gisella Mortelliti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8481 Woodbox Rd, Manlius, NY 13104 Phone: 315-469-6499 | |
Dr. Charles Dicosimo Iii, DMD, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8191 Cazenovia Rd, Manlius, NY 13104 Phone: 315-692-0127 | |
Jason David Henderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8179 Cazenovia Rd., Manlius, NY 13104 Phone: 315-682-2466 Fax: 315-682-3179 | |
Dr. Kevin P Hickey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8108 Cazenovia Road, 7 Pines Office Park Bldg 2, Manlius, NY 13104 Phone: 315-682-8921 Fax: 315-682-5561 | |
Dr. William J. Egan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4500 Pewter Ln, Bldg. 6, Manlius, NY 13104 Phone: 315-682-4314 | |
Dr. William Helf Karp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8179 Cazenovia Rd, Manlius, NY 13104 Phone: 315-682-2386 Fax: 315-682-3914 |