Shenan Bradshaw DDS MD PA

Primary specialty

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

Legal business name

SHENAN BRADSHAW DDS MD PA

Doing business as

Carolina Oral & Maxillofacial Surgery

Practice address

660 Summit Crossing PL Ste 303
Gastonia, NC 28054-2183

Phone

(704) 865-0081

NPI assigned

Apr 22, 2025

Organization subpart

Yes

Parent organization

SHENAN BRADSHAW DDS MD PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheila Eaton

Title

Practice Leader

Phone

(704) 865-0081

Specialties & licenses 1

Addresses

Other names 1

• Carolina Oral & Maxillofacial Surgery Doing business as

Tax ID family

Piedmont Oral Maxillofacia4 organizations share this tax ID, including this one

Part of

Piedmont Oral Maxillofacia

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Shenan Bradshaw DDS MD PA

  dba Mooresville Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Mooresville, NC
  • NPI 1023813888
  NPD tax ID
• Shenan Bradshaw DDS MD PA

  dba Piedmont Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Greensboro, NC
  • NPI 1114710472
  NPD tax ID
• Shenan Bradshaw DDS MD PA

  dba Greensboro Oral, Implant & Implant Facial Cosmetic Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
  • NPI 1952315301
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1922895150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SUMMIT CROSSING PL STE 303",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SUMMIT CROSSING PL STE 303",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542183",
            "telephone_number": "704-865-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENAN BRADSHAW DDS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHENAN BRADSHAW DDS MD PA",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRACTICE LEADER",
        "authorized_official_telephone_number": "704-865-0081"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omer L Shedd, MD
• Brittney Shedron
• Ayodeji Shedu, MD, MPH
• Krystal Sheets, LPN
• Manish Vallabh Sheladia, D.M.D.
• Samira Abhijit Shende, PA-C
• Susanna M Shepard, FNP
• Shephards Hand Inc
• Erika Walker Shepherd, LCSWA
• Lashonda Shepherd, DDS

• Oral & Maxillofacial Surgery (D.M.D.) in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.