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Contact Information

BRIAN J LICARI, DDS
3100 IVANREST AVE SW
SUITE # 104
GRANDVILLE, MI49418-2930
 Phone: 616-531-0780
 Fax: 616-531-4677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRIAN J LICARI · (Male)

NPI Number 1437246055
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 18930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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