| Dr Gerald T Licari, DDS | |
|
1032 4th Ave, Lake Odessa, MI 48849-1004 | |
| (616) 374-8828 | |
| Not Available |
| Full Name | Dr Gerald T Licari |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1032 4th Ave, Lake Odessa, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376630327 | NPI | - | NPPES |
| 11834 | Other | MI | BLUE CROSS BLUE SHEILD |
| 4057629 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901011834 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald T Licari, DDS 1032 4th Ave, Lake Odessa, MI 48849-1004 Ph: (616) 374-8828 | Dr Gerald T Licari, DDS 1032 4th Ave, Lake Odessa, MI 48849-1004 Ph: (616) 374-8828 |
Aaron Blane Freeman, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 4th Ave, Lake Odessa, MI 48849 Phone: 616-374-8053 Fax: 616-374-0731 | |
Dr. Michael J Crete, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1032 4th Ave, Lake Odessa, MI 48849 Phone: 616-374-8828 Fax: 616-374-7934 |