Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERALD T LICARI DDS PC
Active OrganizationGERALD T LICARI DDS PC is a Dentist organization located in LAKE ODESSA, Michigan. NPI 1215024369 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKE ODESSA, MI
Registration Details
- NPI Number
- 1215024369
- Provider Type
- Organization
- NPI Issued
- Oct 9, 2006 (19.70090499479 yrs)
- Last Updated
- Aug 22, 2020
- License
-
2901011834 (MI)
Practice Information
- Address
-
1032 4TH AVELAKE ODESSA, MI, 488491004Browse MI providers · Browse ZIP 48849
- Phone
- 6163748828
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.