Dr. Gerald T Licari is a Lake Odessa, Michigan based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gerald T Licari is 2901011834 for Dentistry in Michigan. His current practice location is 1032 4th Ave, Lake Odessa. Patients can reach him at 616-374-8828.
Dr. Gerald T Licari is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gerald T Licari speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Gerald T Licari
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1032 4th Ave, Lake Odessa, Michigan, 48849-1004
Phone:
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 are as mentioned below.
NPI Number:
1376630327
NPI Enumeration Date:
09 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gerald T Licari are as mentioned below.
License Number
Specialization
State
Status
2901011834
Dentistry
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gerald T Licari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
11834
Other
Michigan
BLUE CROSS BLUE SHEILD
4057629
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1032 4th Ave, Lake Odessa, Michigan
Zip:
48849-1004
Phone Number:
616-374-8828
Patients can reach Dr. Gerald T Licari 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.