DR. KEVIN TRAMON BOLDEN D.D.S.
NPI 1982626990
Dentist - General Practice in Austell, GA

Q: What is Kevin Bolden's NPI number?

The NPI number for Kevin Bolden is 1982626990. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Kevin Bolden's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Bolden was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 25, 2006PECOS Enrolled

780 E WEST CONNECTOR STE 108, AUSTELL, GA 30106(770) 702-7850 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2020, Sep 20, 2017, Jun 15, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Kevin Tramon Bolden D.d.s. NPPES

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

DR. KEVIN TRAMON BOLDEN D.D.S. (NPI 1982626990) is an individual general practice provider in Austell, Georgia, licensed in Georgia (DN015352) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982626990

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN TRAMON BOLDENCredential: D.D.S.

Location Address780 E WEST CONNECTOR STE 108Austell, GA 30106-1349

Mailing Address3805 Dallas Hwy Sw Ste 806Marietta, GA 30064-1620 · (678) 203-3464 · Fax (678) 436-8119

Phone(770) 702-7850

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateFebruary 3, 20204 updates tracked since enumeration

✔ NPI 1982626990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in GA · DN015352✔ Licensed in TX · 27791

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

780 E WEST CONNECTOR STE 108, Austell, GA 30106

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Other Identifiers 2

Medicaid1507574TN

Medicaid1513024TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Tramon Bolden D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CHRISTINE M KEYSER DMD

Dentist

780 E WEST CONNECTOR STE 108
AUSTELL, GA 30106

Cobb County (770) 702-7850

SANIYA SETIA DDS

Dentist

780 E WEST CONNECTOR STE 108
AUSTELL, GA 30106

Cobb County (770) 702-7850

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 Kevin Bolden's NPI number?

The NPI number for Kevin Bolden is 1982626990. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kevin Bolden located?

Kevin Bolden practices at 780 E West Connector Ste 108, Austell, GA 30106. The listed phone number is (770) 702-7850.

What is Kevin Bolden's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kevin Bolden enrolled in Medicare?

Yes. Kevin Bolden is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Bolden accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 8 other insurers list Kevin 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 Kevin Bolden was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.