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LISANNE LYLE DMD
NPI 1710862107
Dentist in Philadelphia, PA

Active since August 06, 2025
1732 S BROAD ST, PHILADELPHIA, PA 19145(215) 336-8391 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisanne Lyle Dmd NPPES

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

LISANNE LYLE DMD (NPI 1710862107) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS045398) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1710862107
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLISANNE LYLECredential: DMD
Location Address1732 S BROAD STPhiladelphia, PA 19145-2330
Mailing Address1974 Dallas StPhiladelphia, PA 19138-2127 · (908) 210-4123
Phone(215) 336-8391
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1710862107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS045398
Definition
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.
1732 S BROAD ST, Philadelphia, PA 19145
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Florida Combined Life, Humana.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. AYALA RUBY OUANOUNOU DMD
Dentist (General Practice)
1732 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 336-8391
ROYAL BEAUTY & MEDICAL SUPPLY COMPANY
Durable Medical Equipment & Medical Supplies
1732 S BROAD ST, FIRST FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (215) 334-6162
PATRICK GUEVARA
Dentist (General Practice)
1732 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 336-8391
SOUTH PHILADELPHIA PAIN MANAGEMENT
General Practice
1732 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 755-7595
PHARMACY PARTNERSHIP 1 INC
Pharmacy
1732 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 880-7905

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 Lisanne Lyle's NPI number?

The NPI number for Lisanne Lyle is 1710862107. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Lisanne Lyle located?

Lisanne Lyle practices at 1732 S Broad St, Philadelphia, PA 19145. The listed phone number is (215) 336-8391.

What is Lisanne Lyle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Lisanne Lyle accept?

Health plans from BEST Life, Florida Combined Life and Humana list Lisanne Lyle 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 Lisanne Lyle was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.