DR. MARY LICKING (NPI# 1144488362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144488362 |
| Entity Type | Individual |
| Full Name | DR. MARY LICKING |
| Credential | D.D.S. |
| Practice Address |
11 Strawberry Bank Rd Apt 18 Nashua NH 03062-2766 |
| Mailing Address |
1244 Boylston St Ste 205 Chestnut Hill MA 02467-2115 |
| Practice Telephone | 6032641785 |
| Mailing Telephone | 6177350800 |
| Mailing Fax Number | 6177350801 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17589 | MA | Dental Providers |
| Street Address |
11 STRAWBERRY BANK RD APT 18 |
| City | NASHUA |
| State | NH |
| Zip Code | 03062-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102998 | Dcy Consulting Pllc | Psychologist | 11 Brackenwood Drive, Nashua, NH 03062 | 2020-04-09 |
| 1477108140 | Timothy Michael Salisbury | Massage Therapist | 505 W. Hollis St., Unit 206 A, 505 W Hollis St Ste 206 A, Nashua, NH 03062 | 2019-08-08 |
| 1548822620 | Northridge Surgical Suites, LLC | Clinic/Center | 41 Innovative Way, Nashua, NH 03062 | 2019-06-28 |
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1194137356 | Jacqueline Shannon | Physical Therapist | 20 Industrial Park Drive, Nashua, NH 03062 | 2014-05-22 |
| 1801220280 | Foundation Medical Partners Inc. | Durable Medical Equipment & Medical Supplies | 112 Spit Brook Rd., Nashua, NH 03062 | 2013-08-21 |
| 1588903124 | Tessa Katherine Macgillivary | Counselor | 76 Northeastern Blvd Unit 28, Nashua, NH 03062 | 2013-02-01 |
| 1578821302 | Active Physical Therapy | Physical Therapist | 681 W Hollis St, Nashua, NH 03062 | 2012-04-30 |
| 1265799092 | Nashua Ambulatory Surgical Center LLC | Clinic/Center | 15 Riverside Drive, Nashua, NH 03062 | 2012-04-18 |
| 1942437835 | Rebecca Murphy | Counselor | 589 West Hollis Street, Suite 203, Nashua, NH 03062 | 2009-06-17 |
| Find all providers in zip 03062 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346770765 | Monica Patricia Moitoso | Dentist | 112 Spit Brook Rd Ste C, Nashua, NH 03062-2711 | 2017-06-18 |
| 1134675135 | Richard B Hanson, Dds, LLC | Dentist | 505 W Hollis St Ste 211, Nashua, NH 03062-1388 | 2016-08-30 |
| 1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
| 1265791388 | Jessica Leigh Williams | Dentist | 283 Broad St, Nashua, NH 03063-3160 | 2012-05-09 |
| 1174844153 | Michael Joseph Paisner | Dentist | 78 Northeastern Blvd Ste 5, Nashua, NH 03062-3179 | 2010-06-14 |
| 1578894754 | Franklyn Liberatore | Dentist | 60 Main St Ste 330, Nashua, NH 03060-2720 | 2010-01-27 |
| 1417117474 | Suma Parakkal | Dentist | 375 Amherst St Ste 2, Nashua, NH 03063-1216 | 2008-06-12 |
| 1801061528 | Kerry Wu Dental Office PC | Dentist | 127 Amherst St, Nashua, NH 03064-2043 | 2008-04-23 |
| 1063682334 | Northeast Family Dental Center PC | Dentist | 193 Kinsley St, Nashua, NH 03060-3658 | 2008-03-03 |
| 1104954403 | Kelly A Fitzgibbons | Dentist | 2 Cellu Drive, Nashua, NH 03063 | 2007-03-01 |
| Find all providers in NASHUA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.