IndividualActive
Kelsey Gardner Laporte, DDS, MD
NPI 1457791253 · Oral & Maxillofacial Surgery (D.M.D.) · Maryville, TN
Provider details
- NPI number
- 1457791253
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS, MD
- Sex
- Female
- Sole proprietor
- No
- License
- 7105 (NE)
Practice location
205 Southdowne Dr
Maryville, TN 37801-3747
Phone: (865) 381-8867
Fax: (865) 724-1803
Mailing address
205 Southdowne Dr
Maryville, TN 37801-3747
Registry dates
- Enumerated
- 2013-06-26
- Last updated
- 2020-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.