Jere Walton Crenshaw in Union City - Orthodontics And Dentofacial Orthopedics
Jere Walton Crenshaw - NPI 1861496317
Jere Walton Crenshaw is a Orthodontics And Dentofacial Orthopedics in Union City, Tennessee. Jere Walton Crenshaw practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jere Walton Crenshaw is 1861496317. The last update date is 2007-09-10.
Jere Walton Crenshaw's current location address is 1623 E Reelfoot Ave, Union City, Tennessee. You can contact this provider via phone number 7318857661. The mailing address for Jere Walton Crenshaw is 1623 E Reelfoot Ave, Union City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jere Walton Crenshaw |
|---|---|
| Address | 1623 E Reelfoot Ave, Union City, Tennessee |
| Phone Number | 7318857661 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S.,M.S |
NPI Number Detail
| NPI Number | 1861496317 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 1623 E Reelfoot Ave |
|---|---|
| City | Union City |
| State | Tennessee (TN) |
| Post Code | 3826160310 |
| Phone Number | 7318857661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DS 2617 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code assigned to Jere Walton Crenshaw by the Centers for Medicare & Medicaid Services?
The Jere Walton Crenshaw has been issued the NPI (National Provider Identifier) 1861496317 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jere Walton Crenshaw?
The Jere Walton Crenshaw is physically situated at 1623 E Reelfoot Ave, in the city of Union City, state of TN, with the postal code 3826160310.
What is the area of specialization for Jere Walton Crenshaw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jere Walton Crenshaw is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861496317 to Jere Walton Crenshaw?
The Centers for Medicare & Medicaid Services assigned the 1861496317 to Jere Walton Crenshaw on 2005-06-10.
As of what date were the details related to Jere Walton Crenshaw most recently updated or revised?
The information pertaining to Jere Walton Crenshaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-10.