DR. LISA MYRUM DMD
NPI 1720424963
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since May 15, 2013
2459 ARAMINGO AVE, PHILADELPHIA, PA 19125(215) 427-2800 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Myrum Dmd NPPES

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

DR. LISA MYRUM DMD (NPI 1720424963) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS039524) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1720424963
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LISA MYRUMCredential: DMD
Location Address2459 ARAMINGO AVEPhiladelphia, PA 19125-3731
Mailing Address350 N Clark St Fl 6, Dental Dreams Llc C/o Juliette BoyceChicago, IL 60654-4712
Sole ProprietorNo
Enumeration DateMay 15, 2013
Last NPPES UpdateJuly 8, 2019
NPI 1720424963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS039524
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DS039524 (PA)
2459 ARAMINGO AVE, Philadelphia, PA 19125

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Dentist
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist (General Practice)
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist (Pediatric Dentistry)
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist (General Practice)
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist (General Practice)
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125
Dentist (General Practice)
2459 ARAMINGO AVE
PHILADELPHIA, PA 19125

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 Myrum's NPI number?

The NPI number for Lisa Myrum is 1720424963. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Lisa Myrum located?

Lisa Myrum practices at 2459 Aramingo Ave, Philadelphia, PA 19125. The listed phone number is (215) 427-2800.

What is Lisa Myrum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Lisa Myrum 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 6 other insurers list Lisa Myrum 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 Myrum was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.