LISANNE LYLE DMD
NPI 1710862107
Dentist in Philadelphia, PA

NPI Status: Active since August 06, 2025

Contact Information

1732 S BROAD ST
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 336-8391

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  • Individual
  • Female
  • Dentist

About LISANNE LYLE

This page provides the complete NPI Profile along with additional information for Lisanne Lyle, a provider established in Philadelphia, Pennsylvania with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1710862107 assigned on August 2025. The practitioner's primary taxonomy code is 122300000X with license number DS045398 (PA). The provider is registered as an individual and her NPI record was last updated August 2025.

NPI
1710862107
Provider Name
LISANNE LYLE DMD
Gender
Female
Entity Type
Individual
Location Address
1732 S BROAD ST PHILADELPHIA, PA 19145
Location Phone
(215) 336-8391
Mailing Address
1974 DALLAS ST PHILADELPHIA, PA 19138
Mailing Phone
(908) 210-4123
Is Sole Proprietor?
No
Enumeration Date
08-06-2025
Last Update Date
08-06-2025
Code Navigator

A dentist like Lisanne Lyle is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DS045398
License State
PA
Taxonomy Description
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710862107
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720166410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 6 + 6 + 4 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1710862107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508882895ROYAL BEAUTY & MEDICAL SUPPLY COMPANY
Organization
Durable Medical Equipment & Medical Supplies1732 S BROAD ST FIRST FLOOR
PHILADELPHIA, PA 19145
(215) 334-6162
1790994838SOUTH PHILADELPHIA PAIN MANAGEMENT
Organization
General Practice1732 S BROAD ST
PHILADELPHIA, PA 19145
(215) 755-7595
1851538763PHARMACY PARTNERSHIP 1 INC
Organization
Pharmacy1732 S BROAD ST
PHILADELPHIA, PA 19145
(215) 880-7905
1548959406 PATRICK GUEVARA
Individual
Dentist (General Practice)1732 S BROAD ST
PHILADELPHIA, PA 19145
(215) 336-8391
1053189563DR. AYALA RUBY OUANOUNOU DMD
Individual
Dentist (General Practice)1732 S BROAD ST
PHILADELPHIA, PA 19145
(215) 336-8391

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710862107, enumerated in the NPI registry as an "individual" on August 06, 2025

The provider is located at 1732 S Broad St Philadelphia, Pa 19145 and the phone number is (215) 336-8391

The provider's speciality is Dentist with taxonomy code 122300000X

This NPI record was last updated on August 06, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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