Crenshaw, Lauren Tyner

Crenshaw, Lauren Tyner is an individual health care provider with primary practice located at 4463 N State St , Jackson MS 39206-5306. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is her primary health care specialty. Crenshaw, Lauren Tyner can be contacted via phone (601) 714-2908.

Contact Information

Primary practice address
4463 N State St Jackson MS 39206-5306
Phone: (601) 714-2908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3585-11 Mississippi
Dental Providers / Pediatric Dentistry 1223P0221X 3585-11 Mississippi

Profile Details

NPI number 1619262318
LBN Legal business name Crenshaw, Lauren Tyner
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Jun 10th, 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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