Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shenan Bradshaw DDS MD PA

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1114710472

Shenan Bradshaw DDS MD PA is an Oral & Maxillofacial Surgery (D.M.D.) in Greensboro, North Carolina. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2105 Braxton Ln Ste 102
Greensboro, NC 27408-2863
Phone: (336) 273-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3493 Forestdale Dr Ste 102, Burlington, NC 27215-8246 — (336) 417-5933

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1114710472
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShenan Bradshaw DDS MD PA
Authorized official Allison Jarrell — Practice Leader · (336) 273-1000
Other names Piedmont Oral And Maxillofacial Surgery
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address2105 Braxton Ln Ste 102, Greensboro, NC 27408-2863

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