Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073106001 Individual Practitioner Female Practitioner

Kelli Gutter

Dentist • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Kelli Gutter is a registered healthcare professional specializing in Dentist in Memphis, TN. Practice services are available at 2953 BROAD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2953 Broad Ave

Memphis, TN 381122957

Telephone 9017016064
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
168 Specialists

Practicing in Memphis, TN (1629 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TN 11637

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1003378779

Doctor of Dental Surgery

Zeneida Davis

Dental Hygienist

NPI 1003632548
NPI 1154737070

Doctor of Dental Surgery

NPI 1205240157

Doctor of Dental Surgery

NPI 1275929432

Doctor of Dental Surgery

Kaylee Harrison

Dental Hygienist

NPI 1407520257

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Dentist (License #11637 in TN)

NPI Profile Active February 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2021

Registered at 2953 BROAD AVE, MEMPHIS, TN 381122957 (Tel: 9017016064)

📍
Updated Business Mailing Address February 20, 2021

Registered at 1537A 12TH AVE N, NASHVILLE, TN 372082024 (Tel: 6013279116)

👤
Provider Name / Credentials Updated February 20, 2021

Recorded as KELLI GUTTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073106001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2021
Last Update: August 10, 2021
Sole Proprietor: Yes

Mailing Address

1537a 12th Ave N

Nashville, TN 372082024

Phone: 6013279116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.