DR. JEFFREY GALE CRENSHAW DMD NPI 1154304277

NPI Information

NPI: 1154304277
Provider Name: DR. JEFFREY GALE CRENSHAW, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
12927 W HIGHWAY 42
PROSPECT, KY
ZIP 40059
Phone: (502) 292-1160
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DR. Jeffrey Gale Crenshaw, DMD is a pediatric dentistry dentist in Prospect, KY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Jeffrey Gale Crenshaw, DMD NPI is 1154304277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12927 W HIGHWAY 42
PROSPECT, KY
ZIP 40059-107
Phone: (502) 292-1160
Fax: (502) 292-1194

The enumeration date for this NPI number is 11/22/2005 and was last updated on 6/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		7853	KENTUCKY	No
2	1223P0221X	Dentist	Pediatric Dentistry	7853	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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