Search › Tennessee › 204E00000X

Kelsey Gardner Laporte, DDS, MD

NPI 1457791253 · on the registry since 2013

Practice

Address
205 Southdowne Dr
Maryville, TN 37801
Phone
(865) 381-8867
Fax
(865) 724-1803
Organisation at this address
Tennessee Valley Oral Surgery. Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1411 John F Kennedy Dr, Bellevue, NE
  • Oral And Maxillofacial Surgery, Omaha, NE
  • 546 S Washington St, Papillion, NE

Registry record

Primary taxonomy
204E00000X
204E00000X
Also registered as
204E00000X
Licence states on file
NE, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee