Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shaletha M Bolden, DDS, MSD

Individual provider Endodontics · NPI 1013171438

Shaletha M Bolden, DDS, MSD is an Endodontics in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia, Tennessee and Texas.

Licensed in
GA, TN, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1425 Riverstone Pkwy Ste 200
Canton, GA 30114-5611
Phone: (770) 479-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN015429 (GA)
Endodontics Taxonomy 1223E0200X · Licence 27790 (TX)
Endodontics Taxonomy 1223E0200X · Licence 8802 (TN)

Record details

NPI number1013171438
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MSD
Sole proprietorYes
NPI enumeratedJuly 15, 2008
Last updated in NPPESJuly 21, 2022
Mailing address1425 Riverstone Pkwy, Suite 200, Canton, GA 30114

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