Bolden, Shaletha M
Bolden, Shaletha M is an sole proprietor health care provider with primary practice located at 1425 Riverstone Pkwy Ste 200 , Canton GA 30114-5611. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Bolden, Shaletha M can be contacted via phone (770) 479-0600.Contact Information
Primary practice address
1425 Riverstone Pkwy Ste 200
Canton GA 30114-5611
Phone: (770) 479-0600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 27790 | Texas |
| Dental Providers / Endodontics | 1223E0200X | 8802 | Tennessee |
| Dental Providers / Endodontics | 1223E0200X | DN015429 | Georgia |
Profile Details
| NPI number | 1013171438 |
|---|---|
| LBN Legal business name | Bolden, Shaletha M |
| Credentials | DDS, MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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