| Dr Brian Joseph Licari, DDS | |
|
3100 Ivanrest Ave Sw, Suite # 104, Grandville, MI 49418-2930 | |
| (616) 531-0780 | |
| (616) 531-4677 |
| Full Name | Dr Brian Joseph Licari |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 3100 Ivanrest Ave Sw, Grandville, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437246055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 18930 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Joseph Licari, DDS 5305 Mccormick Dr Sw, Grandville, MI 49418-8769 Ph: (616) 261-1589 | Dr Brian Joseph Licari, DDS 3100 Ivanrest Ave Sw, Suite # 104, Grandville, MI 49418-2930 Ph: (616) 531-0780 |
Robert L Eggleston, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3100 Ivanrest Ave Sw, Suite 105, Grandville, MI 49418 Phone: 616-538-3060 Fax: 616-538-3653 | |
Dr. Rachel Sheridan Sinacola, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3050 Ivanrest Ave Sw Ste B, Grandville, MI 49418 Phone: 989-430-8554 | |
Dr. Jane Elizabeth Boeschenstein, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3040 Prairie St Sw, Grandville, MI 49418 Phone: 616-532-3212 Fax: 616-532-3193 | |
Dr. Jayne Alyda Kessel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3101 Macatawa Dr Sw, Grandville, MI 49418 Phone: 616-538-5920 | |
Dr. John P Bolthouse, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 Ivanrest Ave Sw, Grandville, MI 49418 Phone: 616-538-1260 Fax: 616-538-5540 | |
Dr. Jeffrey Allen Lindhout, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 4330 44th St Sw, Suite 106, Grandville, MI 49418 Phone: 616-530-4710 Fax: 616-530-0480 | |
Dr. Sarah Jane Palmer, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3484 44th St Sw, Grandville, MI 49418 Phone: 616-534-0080 |