Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELSEY GARDNER LAPORTE, DDS, MD
ActiveDR. KELSEY GARDNER LAPORTE, DDS, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in MARYVILLE, Tennessee. NPI 1457791253 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · MARYVILLE, TN
Registration Details
- NPI Number
- 1457791253
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2013 (13.092914438209 yrs)
- Last Updated
- Jul 16, 2020
- Licenses
-
7105 (NE)11255 (TN)
Practice Information
- Address
-
205 SOUTHDOWNE DRMARYVILLE, TN, 378013747Browse TN providers · Browse ZIP 37801
- Phone
- 8653818867
- Fax
- 8657241803
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.