Individual
DR. BRADFORD C SHINAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,PA
Contact information
Practice address
406 8TH ST, NORTH WILKESBORO, NC 28659-4130
(336) 667-6081
(336) 667-2172
Mailing address
406 8TH ST, NORTH WILKESBORO, NC 28659-4130
(336) 667-6081
(336) 667-2172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997781
—
NC
01
—
97781
BCBS
NC
Enumeration date
01/09/2007
Last updated
03/21/2013
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