DR. VINCENT DOMINIC DIMENTO DMD
NPI 1235261173
Dentist in Syracuse, NY

Active since March 09, 2007PECOS Enrolled
4627 ONONDAGA BLVD, SYRACUSE, NY 13219(315) 477-9960 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vincent Dominic Dimento Dmd NPPES

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

DR. VINCENT DOMINIC DIMENTO DMD (NPI 1235261173) is an individual dentist in Syracuse, New York, licensed in New York (045757) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235261173
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. VINCENT DOMINIC DIMENTOCredential: DMD
Location Address4627 ONONDAGA BLVDSyracuse, NY 13219-3301
Mailing Address4627 Onondaga BlvdSyracuse, NY 13219-3301 · (315) 477-9960
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 13, 2013
NPI 1235261173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 045757
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4627 ONONDAGA BLVD, Syracuse, NY 13219

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vincent Dominic Dimento Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4627 ONONDAGA BLVD
SYRACUSE, NY 13219
Clinic/Center (Dental)
4627 ONONDAGA BLVD
SYRACUSE, NY 13219
Dentist
4627 ONONDAGA BLVD
SYRACUSE, NY 13219

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 Vincent Dimento's NPI number?

The NPI number for Vincent Dimento is 1235261173. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Vincent Dimento located?

Vincent Dimento practices at 4627 Onondaga Blvd, Syracuse, NY 13219. The listed phone number is (315) 477-9960.

What is Vincent Dimento's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Vincent Dimento enrolled in Medicare?

Yes. Vincent Dimento is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vincent Dimento was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.