What is Gary Revercomb's NPI number?

Gary Revercomb's National Provider Identifier (NPI) is 1649371501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Revercomb's specialty?

Gary Revercomb is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Gary Revercomb located?

Gary Revercomb's practice location on file with NPPES is 8076 Cazenovia Rd, Manlius, NY 13104.

What is Gary Revercomb's phone number?

The practice phone number listed in the NPPES registry for Gary Revercomb is (315) 682-8400.

Is Gary Revercomb's NPI active?

Yes — Gary Revercomb's NPI (1649371501) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Gary Revercomb, DMD

NPI 1649371501 · General Practice Dentistry · Manlius, NY

Gary Revercomb, DMD is a General Practice Dentistry provider in Manlius, NY (NPI 1649371501).

Provider details

NPI number: 1649371501
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 030581 (NY)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 030581 (NY)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

Phone: (315) 682-8400

Fax: (315) 682-2602

Street-level locationGet directions

More NY providers

Mailing address