NPI 1457791253

Kelsey Gardner Laporte, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Maryville, TN

Practice location

Address: 205 Southdowne Dr, Maryville, TN 37801-3747
Phone: (865) 381-8867
Fax: (865) 724-1803

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 11255 (TN)

Other Oral & Maxillofacial Surgery providers in Tennessee →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 7105 (NE)

Registry record

NPI: 1457791253
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2013
Record last updated: 16 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.