IndividualActive
Gerald Licari, DDS
NPI 1376630327 · Dentist · Lake Odessa, MI
Gerald Licari, DDS is a Dentist provider in Lake Odessa, MI (NPI 1376630327).
Provider details
- NPI number
- 1376630327
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- 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
- 2007-07-08
Frequently asked questions
- What is Gerald Licari's NPI number?
- Gerald Licari's National Provider Identifier (NPI) is 1376630327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerald Licari's specialty?
- Gerald Licari is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Gerald Licari located?
- Gerald Licari's practice location on file with NPPES is 1032 4th Ave, Lake Odessa, MI 48849-1004.
- What is Gerald Licari's phone number?
- The practice phone number listed in the NPPES registry for Gerald Licari is (616) 374-8828.
- Is Gerald Licari's NPI active?
- Yes — Gerald Licari's NPI (1376630327) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.