Crenshaw, Jeffrey Gale

Crenshaw, Jeffrey Gale is an individual health care provider with primary practice located at 12927 W Highway 42 , Prospect KY 40059-9107. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Crenshaw, Jeffrey Gale can be contacted via phone (502) 292-1160.

Contact Information

Primary practice address
12927 W Highway 42 Prospect KY 40059-9107
Phone: (502) 292-1160
Fax: (502) 292-1194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7853 Kentucky
Dental Providers / Dentist 122300000X 7853 Kentucky

Profile Details

NPI number 1154304277
LBN Legal business name Crenshaw, Jeffrey Gale
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jun 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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