SHALETHA M BOLDEN DDS, MSD
NPI 1013171438
Dentist - Endodontics in Canton, GA

Active since July 15, 2008
1425 RIVERSTONE PKWY STE 200, CANTON, GA 30114(770) 479-0600 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaletha M Bolden Dds, Msd NPPES

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

SHALETHA M BOLDEN DDS, MSD (NPI 1013171438) is an individual endodontics provider in Canton, Georgia, licensed in Georgia (DN015429) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1013171438
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameSHALETHA M BOLDENCredential: DDS, MSD
Location Address1425 RIVERSTONE PKWY STE 200Canton, GA 30114-5611
Mailing Address1425 Riverstone Pkwy, Suite 200Canton, GA 30114 · (770) 479-0600
Sole ProprietorYes
Enumeration DateJuly 15, 2008
Last NPPES UpdateJuly 21, 2022
NPI 1013171438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses Licensed in GA · DN015429 Licensed in TX · 27790 Licensed in TN · 8802
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1425 RIVERSTONE PKWY STE 200, Canton, GA 30114

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1425 RIVERSTONE PKWY STE 200
CANTON, GA 30114
Dentist
1425 RIVERSTONE PKWY STE 200
CANTON, GA 30114
Dentist (General Practice)
1425 RIVERSTONE PKWY STE 200
CANTON, GA 30114

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 Shaletha Bolden's NPI number?

The NPI number for Shaletha Bolden is 1013171438. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Shaletha Bolden located?

Shaletha Bolden practices at 1425 Riverstone Pkwy Ste 200, Canton, GA 30114. The listed phone number is (770) 479-0600.

What is Shaletha Bolden's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Shaletha Bolden accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Shaletha Bolden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaletha Bolden was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.