Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERALD T LICARI DDS PC
Active OrganizationDentist · LAKE ODESSA, MI
Registration Details
- NPI Number
- 1215024369
- Provider Type
- Organization
- NPI Issued
- Oct 9, 2006 (19.568969448591 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.