Dr. Kelsey Gardner Laporte
Oral & Maxillofacial Surgeon
205 Southdowne Dr
Maryville
, Tennessee 37801-3747
Dr. Kelsey Gardner Laporte
Oral & Maxillofacial Surgeon
205 Southdowne Dr
Maryville
, Tennessee 37801-3747
(865) 724-1803
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kelsey Gardner Laporte
- 205 Southdowne Dr
- Maryville, TN
- Zip : 37801-3747
- Fax : (865) 724-1803
- Phone : (865) 381-8867
Second Address
- Dr. Kelsey Gardner Laporte
- 205 Southdowne Dr
- Maryville, TN
- Zip : 37801-3747
- Fax : (865) 724-1803
- Phone : (865) 381-8867
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 11255 | TN |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 7105 | NE |
National Provider Identifier
| NPI | 1457791253 |
|---|---|
| Provider Name | Dr. Kelsey Gardner Laporte |
| First Address | Maryville, TN 37801-3747 |
| Second Address | Maryville, TN 37801-3747 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2013 |
| Last Update Date | 16/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.