Shealy, James Welton
Shealy, James Welton is an individual health care provider with primary practice located at 16 Felton Pl # B , Cartersville GA 30120-2152. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shealy, James Welton can be contacted via phone (770) 382-3536.Contact Information
Primary practice address
16 Felton Pl # B
Cartersville GA 30120-2152
Phone: (770) 382-3536
Fax: (770) 382-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12013092A | Indiana |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 30.025291 | Ohio |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 2901022957 | Michigan |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8498 | South Carolina |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10380 | Tennessee |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 36121 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 1001759 | Wisconsin |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN011369 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DS042563 | Pennsylvania |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 09480 | Iowa |
Profile Details
| NPI number | 1619044724 |
|---|---|
| LBN Legal business name | Shealy, James Welton |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 20th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619044724 | NPPES |
| Georgia | Other | 100517 | AVESIS MEDICAID |
| Georgia | Other | 9181146 | AVESIS MEDICAID |
| Georgia | MEDICAID | 00746798B | AVESIS MEDICAID |
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