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SHENAN BRADSHAW DDS MD PA
NPI 1023813888
Dentist - Oral and Maxillofacial Surgery in Mooresville, NC

Active since February 17, 2025
858 BRAWLEY SCHOOL RD STE C, MOORESVILLE, NC 28117(704) 799-3555 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shenan Bradshaw Dds Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHENAN BRADSHAW DDS MD PA (NPI 1023813888), doing business as Mooresville Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Mooresville, North Carolina and active in the NPI registry since February 2025. The organization lists Jennifer Graves, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1023813888
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSHENAN BRADSHAW DDS MD PA
Location Address858 BRAWLEY SCHOOL RD STE CMooresville, NC 28117-8208
Mailing Address858 Brawley School Rd Ste CMooresville, NC 28117-8208
Phone(704) 799-3555
Organization SubpartYes
Authorized OfficialJennifer GravesPractice Admin · (704) 799-3555
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1023813888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
858 BRAWLEY SCHOOL RD STE C, Mooresville, NC 28117
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Other Names 1

Doing Business AsMooresville Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shenan Bradshaw Dds MD PA's NPI number?

The NPI number for Shenan Bradshaw Dds MD PA is 1023813888. It was assigned to this organization in the NPPES registry on February 17, 2025. The provider is doing business as Mooresville Oral Surgery.

Where is Shenan Bradshaw Dds MD PA located?

Shenan Bradshaw Dds MD PA is located at 858 Brawley School Rd Ste C, Mooresville, NC 28117. The listed phone number is (704) 799-3555.

What is Shenan Bradshaw Dds MD PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Shenan Bradshaw Dds MD PA was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.