Individual
DR. JERE WALTON CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
1623 E REELFOOT AVE, UNION CITY, TN 38261-6031
(731) 885-7661
Mailing address
1623 E REELFOOT AVE, UNION CITY, TN 38261-6031
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS 2617
TN
Other
Enumeration date
06/10/2005
Last updated
09/10/2007
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