Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Dicosimo III, DMD, MSD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1083310130

Dr. Charles Dicosimo III, DMD, MSD is an Orthodontics and Dentofacial Orthopedics Dentistry in Manlius, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

8191 Cazenovia Rd
Manlius, NY 13104-9778
Phone: (315) 692-0127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 059734 (NY)

Record details

NPI number1083310130
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MSD
Sole proprietorYes
NPI enumeratedJanuary 31, 2023
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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