OrganizationActive
Gerald T Licari DDS PC
NPI 1215024369 · Dentist · Lake Odessa, MI
Gerald T Licari DDS PC is a Dentist organization in Lake Odessa, MI (NPI 1215024369).
Provider details
- NPI number
- 1215024369
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Gerald Licari, President(616) 374-8828
- License
- 2901011834 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1032 4th Ave
Lake Odessa, MI 48849-1004
Phone: (616) 374-8828
Street-level locationGet directions
Mailing address
1032 4th Ave
Lake Odessa, MI 48849-1004
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gerald T Licari DDS PC's NPI number?
- Gerald T Licari DDS PC's National Provider Identifier (NPI) is 1215024369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gerald T Licari DDS PC?
- Gerald T Licari DDS PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Gerald T Licari DDS PC located?
- Gerald T Licari DDS PC's practice location on file with NPPES is 1032 4th Ave, Lake Odessa, MI 48849-1004.
- What is Gerald T Licari DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Gerald T Licari DDS PC is (616) 374-8828.
- Who is the authorized official for Gerald T Licari DDS PC?
- The authorized official listed on Gerald T Licari DDS PC's NPPES record is Gerald Licari, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gerald T Licari DDS PC's NPI active?
- Yes — Gerald T Licari DDS PC's NPI (1215024369) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.