# SHENAN BRADSHAW DDS MD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHENAN BRADSHAW DDS MD PA
- **Other names:** Greensboro Oral, Implant & Implant Facial Cosmetic Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952315301
- **Legal business name:** SHENAN BRADSHAW DDS MD PA
- **Authorized official:** KAREN STRICKLER (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (336) 621-1554

## Contact information

- **Practice address:** 2708 HENRY ST, GREENSBORO, NC 27405-3633
- **Practice address phone:** (336) 621-1554
- **Practice address fax:** (336) 621-3402
- **Mailing address:** 2708 HENRY ST, GREENSBORO, NC 27405
- **Mailing address phone:** (336) 621-1554
- **Mailing address fax:** (336) 621-3402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5525 | NC | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 04/28/2025
