Organization
SHENAN BRADSHAW DDS MD PA
Active
Parent organization
SHENAN BRADSHAW DDS MD PA
Other names
Piedmont Oral and Maxillofacial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHENAN BRADSHAW DDS MD PA
Authorized official
ALLISON JARRELL (PRACTICE LEADER)
(336) 273-1000
Entity
Organization
Contact information
Practice address
2105 BRAXTON LN STE 102, GREENSBORO, NC 27408-2863
(336) 273-1000
Mailing address
2105 BRAXTON LN STE 102, GREENSBORO, NC 27408-2863
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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