Doctor profile · Federal record
Dr. Jacob Revercomb, DDS
General Practice Dentistry · Manlius, NY
- NPI 1700987674
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8076 Cazenovia RD
Manlius, NY 13104
(315) 682-8400
fax (315) 682-2602
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- New York #048833
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700987674. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$102
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 1 | $79.30 | |
| BioHorizons Implant Systems Inc. | 1 | $22.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
43
Patients
34
Total drug cost
$87
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 43 | 34 | $87 |
Frequently asked questions
What is Dr. Jacob Revercomb's medical specialty?
Dr. Jacob Revercomb practices General Practice Dentistry in Manlius, NY.
Where does Dr. Jacob Revercomb practice?
Dr. Jacob Revercomb practices at 8076 Cazenovia RD, Manlius, NY 13104. Office phone: 3156828400.
What is Dr. Jacob Revercomb's NPI?
Dr. Jacob Revercomb's National Provider Identifier (NPI) is 1700987674, issued by NPPES.