DR. MARY LYNN LICHT D.D.S., D.M.D.
NPI 1679790257
Dentist - General Practice in Wellington, FL

Q: What is Mary Licht's NPI number?

The NPI number for Mary Licht is 1679790257. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Mary Licht's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Licht was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2007

11924 W FOREST HILL BLVD STE 10, WELLINGTON, FL 33414(561) 798-0825(561) 795-9909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary Lynn Licht D.d.s., D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY LYNN LICHT D.D.S., D.M.D. (NPI 1679790257) is an individual general practice provider in Wellington, Florida, licensed in Florida (9660) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1679790257

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY LYNN LICHTCredential: D.D.S., D.M.D.

Location Address11924 W FOREST HILL BLVD STE 10Wellington, FL 33414-6200

Mailing Address2284 Alford WayWellington, FL 33414-6200 · (561) 798-0825 · Fax (561) 795-9909

Phone(561) 798-0825

Fax(561) 795-9909

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679790257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · 9660

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11924 W FOREST HILL BLVD STE 10, Wellington, FL 33414

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Other Identifiers 2

Other576405FL · United Concordia

Other67438FL · B.c.b.s. Of Fla

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Licht's NPI number?

The NPI number for Mary Licht is 1679790257. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Mary Licht located?

Mary Licht practices at 11924 W Forest Hill Blvd Ste 10, Wellington, FL 33414. The listed phone number is (561) 798-0825.

What is Mary Licht's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mary Licht was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.