Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip Alan Lisk, DDS

Individual provider Multi-Specialty Clinic/Center · NPI 1134303738

Dr. Philip Alan Lisk, DDS is a Multi-Specialty Clinic/Center in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

901 Paverstone Dr Ste A
Raleigh, NC 27615-4708
Phone: (919) 870-6892
Fax: (919) 870-1746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6746 (NC)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1134303738
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 19, 2007
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

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