Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERE WALTON CRENSHAW, D.D.S.,M.S.
Active Sole ProprietorDR. JERE WALTON CRENSHAW, D.D.S.,M.S. is a Orthodontics healthcare provider located in UNION CITY, Tennessee. NPI 1861496317 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · UNION CITY, TN
Registration Details
- NPI Number
- 1861496317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.140421866731 yrs)
- Last Updated
- Sep 10, 2007
- License
-
DS 2617 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1623 E REELFOOT AVEUNION CITY, TN, 382616031Browse TN providers · Browse ZIP 38261
- Phone
- 7318857661
- Primary Specialty
-
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.