Individual provider · Type 1 NPI
Lisanne Lyle, DMD
Dentist · Philadelphia, PA
Practice location
1732 S Broad St
Philadelphia, PA 19145-2330
Mailing address
1974 Dallas St
Philadelphia, PA 19138-2127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | DS045398 (PA) |
Dentist: 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 requiremen…
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About NPI 1710862107
Lisanne Lyle, DMD's National Provider Identifier is 1710862107, issued on Aug 6, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 6, 2025.