Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES DICOSIMO III, DMD, MSD
Active Sole ProprietorDR. CHARLES DICOSIMO III, DMD, MSD is a Orthodontics healthcare provider located in MANLIUS, New York. NPI 1083310130 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MANLIUS, NY
Registration Details
- NPI Number
- 1083310130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2023 (3.5765376590396 yrs)
- Last Updated
- Jan 31, 2023
- License
-
059734 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8191 CAZENOVIA RDMANLIUS, NY, 131049778Browse NY providers · Browse ZIP 13104
- Phone
- 3156920127
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MANLIUS, NY
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID M KONYS | DDS,MS | 1346300944 |
| CAROLYN BRADFORD DRAGON | DMD, MSD | 1730605619 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.