DR. CHARLES DICOSIMO III DMD, MSD
NPI 1083310130
Dentist - Orthodontics and Dentofacial Orthopedics in Manlius, NY

Active since January 31, 2023
8191 CAZENOVIA RD, MANLIUS, NY 13104(315) 692-0127 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Dicosimo Iii Dmd, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES DICOSIMO III DMD, MSD (NPI 1083310130) is an individual orthodontics and dentofacial orthopedics provider in Manlius, New York, licensed in New York (059734) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1083310130
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. CHARLES DICOSIMO IIICredential: DMD, MSD
Location Address8191 CAZENOVIA RDManlius, NY 13104-9778
Mailing Address8191 Cazenovia RdManlius, NY 13104-9778 · (315) 692-0127
Sole ProprietorYes
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
NPI 1083310130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 059734
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
8191 CAZENOVIA RD, Manlius, NY 13104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Dicosimo's NPI number?

The NPI number for Charles Dicosimo is 1083310130. It was assigned to this individual provider in the NPPES registry on January 31, 2023.

Where is Charles Dicosimo located?

Charles Dicosimo practices at 8191 Cazenovia Rd, Manlius, NY 13104. The listed phone number is (315) 692-0127.

What is Charles Dicosimo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Charles Dicosimo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Charles Dicosimo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Dicosimo was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.