Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA REBECCA JOLLY DDS
NPI 1205419355
Dentist - Orthodontics and Dentofacial Orthopedics in Philadelphia, PA

Active since May 05, 2021
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Aug 7, 2026, Sep 22, 2022 and 3 more (6 updates tracked since 2021).

About Lisa Rebecca Jolly Dds NPPES

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

LISA REBECCA JOLLY DDS (NPI 1205419355) is an individual orthodontics and dentofacial orthopedics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS044929) and active in the NPI registry since May 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205419355
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameLISA REBECCA JOLLYCredential: DDS
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing Address160 E Erie AvePhiladelphia, PA 19134-1011 · (801) 581-8419
Sole ProprietorNo
Enumeration DateMay 5, 2021
Last NPPES UpdateAugust 12, 20266 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1205419355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in PA · DS044929
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 12328725-9921 (UT)
160 E ERIE AVE, Philadelphia, PA 19134

Secondary Practice Locations 2

Location 130 N 1900 E # 3B400Salt Lake City, UT 84132-0002 · Phone (801) 581-8419
Location 2225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-4000

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Lisa Jolly's NPI number?

The NPI number for Lisa Jolly is 1205419355. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Lisa Jolly located?

Lisa Jolly practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Lisa Jolly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Lisa Jolly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Lisa Jolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Jolly was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.