Individual provider · Type 1 NPI
Shenan Marie Bradshaw, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Chesterfield, MO
NPI number
1699040121
Active
Practice location
17300 N Outer 40 Rd Ste 103
Chesterfield, MO 63005-1364
Other practice locations
- 1487 US Highway 61 Ste B, Festus, MO 63028-4164 · (636) 931-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2020029150 (MO) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Chesterfield
- David E. Urbanek, DMDOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1053549816
- Donald C. Hofheins, DDSOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1114960648
- Courtney Ethington, DMD, MSDOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1134767866
- Scott A. Drooger, DDSOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1225015068
- Michael J. Backer, DMDOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1427315431
- Reza Movahed, DMDOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1790923365
- Robert R. Stemme, DDSOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1851488225
- Susan Ann Godwin, DMDOral and Maxillofacial Surgery (Dentist) Chesterfield, MO NPI 1871764233
About NPI 1699040121
Shenan Marie Bradshaw, DDS, MD's National Provider Identifier is 1699040121, issued on Mar 16, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chesterfield, MO. The record was last updated on Jan 18, 2025.