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Shenan Bradshaw DDS MD PA — NPI 1114710472, Greensboro, NC | NPI Central

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NPI 1114710472

OrganizationActive

Shenan Bradshaw DDS MD PA

NPI 1114710472 · Oral & Maxillofacial Surgery (D.M.D.) · Greensboro, NC

Provider details

NPI number: 1114710472
Entity type: Organization
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Parent organization: Shenan Bradshaw DDS MD PA
Organization subpart: Yes
Authorized official: Allison Jarrell, Practice Leader(336) 273-1000

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000X
Allopathic & Osteopathic Physicians

Practice location

2105 Braxton Ln Ste 102

Greensboro, NC 27408-2863

Phone: (336) 273-1000

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

2105 Braxton Ln Ste 102

Greensboro, NC 27408-2863

Other names (DBA / former)

Doing business as: Piedmont Oral and Maxillofacial Surgery

Additional practice locations (1)

3493 Forestdale Dr Ste 102
Burlington, NC 27215-8246
Phone: (336) 417-5933

Registry dates

Enumerated: 2025-05-28
Last updated: 2025-05-28
Certified: 2025-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.