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DR. GERALD T LICARI DDS
NPI 1376630327
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: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gerald T Licari Dds NPPES

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

DR. GERALD T LICARI DDS (NPI 1376630327) is an individual dentist in Lake Odessa, Michigan, licensed in Michigan (2901011834) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376630327
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GERALD T LICARICredential: DDS
Location Address1032 4TH AVELake Odessa, MI 48849-1004
Mailing Address1032 4th AveLake Odessa, MI 48849-1004 · (616) 374-8828
Phone(616) 374-8828
Sole ProprietorNo
Enumeration DateOctober 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376630327 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

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.

GERALD T LICARI DDS PC
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 Licari's NPI number?

The NPI number for Gerald Licari is 1376630327. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Gerald Licari located?

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

What is Gerald Licari'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 Licari was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.