Individual provider · Type 1 NPI
Charles Dicosimo Iii, DMD, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Manlius, NY
Practice location
8191 Cazenovia Rd
Manlius, NY 13104-9778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 059734 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
Other orthodontics and dentofacial orthopedics dentistry providers in Manlius
About NPI 1083310130
Charles Dicosimo Iii, DMD, MSD's National Provider Identifier is 1083310130, issued on Jan 31, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Manlius, NY. The record was last updated on Jan 31, 2023.