Healthcare Provider Details

I. General information

NPI: 1407772841
Provider Name (Legal Business Name): LEXI ELAINE DECOURSEY D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1291 DOLLY PARTON PKWY
SEVIERVILLE TN
37862-3705
US

IV. Provider business mailing address

3403 BIRDS CREEK RD
SEVIERVILLE TN
37876-7668
US

V. Phone/Fax

Practice location:
  • Phone: 865-453-1001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13255
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: