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Shenan Bradshaw Dds Md Pa
Oral and Maxillofacial Surgery (Dentist) in Greensboro, North Carolina
NPI 1952315301

Shenan Bradshaw Dds Md Pa is a Oral and Maxillofacial Surgery (Dentist) based in Greensboro, NC and is specialized in Oral and Maxillofacial Surgery. Shenan Bradshaw Dds Md Pa practices in Greensboro, NC. The NPI Number for Shenan Bradshaw Dds Md Pa is 1952315301 and holds a License No. 5525 (North Carolina).

The current practice location address for Shenan Bradshaw Dds Md Pa is 2708 Henry St, Greensboro, NC and can be reached out via phone at 336-621-1554 and via fax at 336-621-3402.

Location: 2708 Henry St, Greensboro, NC, 27405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952315301
Provider Name
Shenan Bradshaw Dds Md Pa
Credential
Provider Entity Type
Organization
Address
2708 Henry St, Greensboro, NC, 27405
Phone Number
336-621-1554
Fax Number
336-621-3402
Provider Enumeration Date
07/28/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
02635 01 NC BCBS
89016AE 05 NC
institution
Provider Business Practice Location Address Details
Address
2708 Henry St
City
Greensboro
State
North Carolina
Zip
27405
Phone Number
336-621-1554
Fax Number
336-621-3402
person
Provider Business Mailing Address Details
Address
2708 Henry St
City
Greensboro
State
North Carolina
Zip
27405
Phone Number
336-621-1554
Fax Number
336-621-3402
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5525 (North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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