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Organization

SHENAN BRADSHAW DDS MD PA

Active
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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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