NPI 1114710472

Shenan Bradshaw DDS MD PA

Organisation Oral & Maxillofacial Surgery (D.M.D.) Greensboro, NC

Practice location

Address: 2105 Braxton Ln STE 102, Greensboro, NC 27408-2863
Phone: (336) 273-1000

Authorised official

Name: Allison Jarrell
Title: Practice Leader
Phone: (336) 273-1000

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in North Carolina →

Registry record

NPI: 1114710472
Entity type: Organization
NPI issued: 28 May 2025
Record last updated: 28 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.