Gerald T Licari Dds Pc is a Dental Clinic in Lake Odessa, Michigan. It is located at 1032 4th Ave, Lake Odessa, MI and its contact number is 616-374-8828. The authorized person for Gerald T Licari Dds Pc is Dr. Gerald T Licari
who is President of the clinic and their contact number is 616-374-8828. The primary license number for Gerald T Licari Dds Pc is 2901011834 (Dentist) in Michigan. Gerald T Licari Dds Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Gerald T Licari Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Gerald T Licari Dds Pc
Specialization:
Dentistry
Clinic Address:
1032 4th Ave, Lake Odessa, Michigan, 48849-1004
Phone:
616-374-8828
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Gerald T Licari
Position:
President
Contact Number:
616-374-8828
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gerald T Licari Dds Pc clinic are as mentioned below.
NPI Number:
1215024369
NPI Enumeration Date:
09 Oct, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gerald T Licari Dds Pc are as mentioned below.
Specialization
License Number
State
Status
Dentist
2901011834
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4057629
Medicaid
Michigan
11834
Other
Michigan
Blue Cross Blue Sheild
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gerald T Licari Dds Pc 1032 4th Ave, Lake Odessa, Michigan
Zip:
48849-1004
Phone Number:
616-374-8828
Patients can reach Gerald T Licari Dds Pc at 1032 4th Ave, Lake Odessa, Michigan or can call to book an appointment on 616-374-8828. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.