Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD T LICARI, DDS
ActiveDentist · LAKE ODESSA, MI
Registration Details
- NPI Number
- 1376630327
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2006 (19.570524729144 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2901011834 (MI)
Practice Information
- Address
-
1032 4TH AVELAKE ODESSA, MI, 488491004Browse MI providers · Browse ZIP 48849
- Phone
- 6163748828
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LAKE ODESSA, MI
| Name | Credential | NPI |
|---|---|---|
| AARON BLANE FREEMAN | D.D.S | 1639258320 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.