Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Rebecca Jolly, DDS

Individual provider Dentist · NPI 1205419355

Lisa Rebecca Jolly, DDS is a Dentist in Philadelphia, Pennsylvania. Works from 3 locations. Licensed in Pennsylvania and Utah.

Licensed in
PA, UT
In the registry since
2021
Specialties on file
2
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

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DS044929 (PA)
Dentist Taxonomy 122300000X · Licence 12328725-9921 (UT)

Record details

NPI number1205419355
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

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