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GERALD T LICARI DDS PC
NPI 1215024369
Dentist in Lake Odessa, MI

Active since October 09, 2006
1032 4TH AVE, LAKE ODESSA, MI 48849(616) 374-8828 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerald T Licari Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD T LICARI DDS PC (NPI 1215024369) is a healthcare organization registered as a dentist in Lake Odessa, Michigan and active in the NPI registry since October 2006. The organization lists Gerald T Licari, President, as its authorized official.

NPPES Registry Identity

NPI1215024369
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGERALD T LICARI DDS PC
Location Address1032 4TH AVELake Odessa, MI 48849-1004
Mailing Address1032 4th AveLake Odessa, MI 48849-1004 · (616) 374-8828
Phone(616) 374-8828
Organization SubpartNo
Authorized OfficialGerald T LicariPresident · (616) 374-8828
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215024369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901011834
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1032 4TH AVE, Lake Odessa, MI 48849
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Other Identifiers 2

Other11834MI · Blue Cross Blue Sheild
Medicaid4057629MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD T LICARI DDS
Dentist
1032 4TH AVE
LAKE ODESSA, MI 48849
Ionia County (616) 374-8828
ALEX T. HOELZEL, PLLC
Clinic/Center (Dental)
1032 4TH AVE
LAKE ODESSA, MI 48849
Ionia County (616) 374-8828
DR. MICHAEL J CRETE DDS
Dentist (General Practice)
1032 4TH AVE
LAKE ODESSA, MI 48849
Ionia County (616) 374-8828
LAKE ODESSA DENTAL, PLLC
Clinic/Center (Dental)
1032 4TH AVE
LAKE ODESSA, MI 48849
Ionia County (616) 374-8828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald T Licari Dds PC's NPI number?

The NPI number for Gerald T Licari Dds PC is 1215024369. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Gerald T Licari Dds PC located?

Gerald T Licari Dds PC is located at 1032 4th Ave, Lake Odessa, MI 48849. The listed phone number is (616) 374-8828.

What is Gerald T Licari Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Gerald T Licari Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.