Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald T Licari DDS PC

Organization Dentist · NPI 1215024369

Gerald T Licari DDS PC is a Dentist in Lake Odessa, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1032 4th Ave
Lake Odessa, MI 48849-1004
Phone: (616) 374-8828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901011834 (MI)

Record details

NPI number1215024369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Licari — President · (616) 374-8828
NPI enumeratedOctober 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1032 4th Ave, Lake Odessa, MI 48849-1004

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