Individual provider · Type 1 NPI

Lisa Rebecca Jolly, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Philadelphia, PA

NPI number 1205419355 Active

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Call (215) 427-5000 Map

Other practice locations

  • 225 E Chicago Ave, Chicago, IL 60611-2991 · (312) 227-4000
  • 30 N 1900 E # 3B400, Salt Lake City, UT 84132-0002 · (801) 581-8419

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X12328725-9921 (UT)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS044929 (PA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1205419355

Lisa Rebecca Jolly, DDS's National Provider Identifier is 1205419355, issued on May 5, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 12, 2026.