Organization
SHENAN BRADSHAW DDS MD PA
Active
Parent organization
SHENAN BRADSHAW DDS MD PA
Other names
Mooresville Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHENAN BRADSHAW DDS MD PA
Authorized official
JENNIFER GRAVES (PRACTICE ADMIN)
(704) 799-3555
Entity
Organization
Contact information
Practice address
858 BRAWLEY SCHOOL RD STE C, MOORESVILLE, NC 28117-8208
(704) 799-3555
Mailing address
858 BRAWLEY SCHOOL RD STE C, MOORESVILLE, NC 28117-8208
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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