Organization
SHENAN BRADSHAW DDS MD PA
Active
Organization
SHENAN BRADSHAW DDS MD PA
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
Legal business name
SHENAN BRADSHAW DDS MD PA
Authorized official
KAREN STRICKLER (PRACTICE ADMINISTRATOR)
(336) 621-1554
Entity
Organization
Contact information
Practice address
2708 HENRY ST, GREENSBORO, NC 27405-3633
(336) 621-1554
(336) 621-3402
Mailing address
2708 HENRY ST, GREENSBORO, NC 27405
(336) 621-1554
(336) 621-3402
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02635
BCBS
NC
05
—
89016AE
—
NC
Enumeration date
07/28/2006
Last updated
04/28/2025
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