Individual
DR. JEFFREY GALE CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12927 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 292-1160
(502) 292-1194
Mailing address
12927 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 292-1160
(502) 292-1194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7853
KY
1223P0221X
Pediatric Dentistry
Primary
7853
KY
Other
Enumeration date
11/22/2005
Last updated
06/08/2011
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