Individual
DR. BRENT LEE CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8859 LADUE RD, SAINT LOUIS, MO 63124-2045
(314) 983-8011
Mailing address
33 WILLIAMSBURG LN, GLEN CARBON, IL 62034-1100
(618) 334-6373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032764
IL
1223G0001X
General Practice Dentistry
2020021490
MO
Other
Enumeration date
07/22/2020
Last updated
08/12/2024
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