OrganizationActive
Gary L. Revercomb, DMD
NPI 1245521012 · General Practice Dentistry · Manlius, NY
Gary L. Revercomb, DMD is a General Practice Dentistry organization in Manlius, NY (NPI 1245521012).
Provider details
- NPI number
- 1245521012
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gary Revercomb, Dentist(315) 682-8400
- License
- 030581 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8076 Cazenovia Rd
Manlius, NY 13104-9218
Phone: (315) 682-8400
Fax: (315) 682-2602
Street-level locationGet directions
Mailing address
8076 Cazenovia Rd
Manlius, NY 13104-9218
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2011-04-27
Frequently asked questions
- What is Gary L. Revercomb, DMD's NPI number?
- Gary L. Revercomb, DMD's National Provider Identifier (NPI) is 1245521012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gary L. Revercomb, DMD?
- Gary L. Revercomb, DMD is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Gary L. Revercomb, DMD located?
- Gary L. Revercomb, DMD's practice location on file with NPPES is 8076 Cazenovia Rd, Manlius, NY 13104-9218.
- What is Gary L. Revercomb, DMD's phone number?
- The practice phone number listed in the NPPES registry for Gary L. Revercomb, DMD is (315) 682-8400.
- Who is the authorized official for Gary L. Revercomb, DMD?
- The authorized official listed on Gary L. Revercomb, DMD's NPPES record is Gary Revercomb, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gary L. Revercomb, DMD's NPI active?
- Yes — Gary L. Revercomb, DMD's NPI (1245521012) is active in the NPPES registry as of the last update on 2011-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.