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Organization
SHENAN BRADSHAW DDS MD PA
Active
Organization
SHENAN BRADSHAW DDS MD PA
Active
Parent organization
SHENAN BRADSHAW DDS MD PA
Other names
Carolina Oral & Maxillofacial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHENAN BRADSHAW DDS MD PA
Authorized official
SHEILA EATON (PRACTICE LEADER)
(704) 865-0081
Entity
Organization
Contact information
Practice address
660 SUMMIT CROSSING PL STE 303, GASTONIA, NC 28054-2183
(704) 865-0081
Mailing address
660 SUMMIT CROSSING PL STE 303, GASTONIA, NC 28054-2183
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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