Shaletha M Bolden, DDS, MSD - Medicare Dentist in Canton, GA

Shaletha M Bolden, DDS, MSD is a medicare enrolled "Dentist - Endodontics" provider in Canton, Georgia. Her current practice location is 1425 Riverstone Pkwy Ste 200, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 479-0600.

Shaletha M Bolden is licensed to practice in Georgia (license number DN015429) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013171438.

Contact Information

Shaletha M Bolden, DDS, MSD
1425 Riverstone Pkwy Ste 200,
Canton, GA 30114-5611
(770) 479-0600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShaletha M Bolden
GenderFemale
SpecialityDentist - Endodontics
Location1425 Riverstone Pkwy Ste 200, Canton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013171438
  • Provider Enumeration Date: 07/15/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991099152
  • Enrollment ID: I20160810001930

Medical Identifiers

Medical identifiers for Shaletha M Bolden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013171438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 27790 (Texas)Secondary
1223E0200XDentist - Endodontics 8802 (Tennessee)Secondary
1223E0200XDentist - Endodontics DN015429 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaletha M Bolden is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shaletha M Bolden, DDS, MSD
1425 Riverstone Pkwy, Suite 200,
Canton, GA 30114

Ph: (770) 479-0600
Shaletha M Bolden, DDS, MSD
1425 Riverstone Pkwy Ste 200,
Canton, GA 30114-5611

Ph: (770) 479-0600

Reviews and Comments


Dentist in Canton, GA

Dr. Stephen C Hutchins, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 218 Riverstone Dr, Canton, GA 30114
Phone: 770-479-3846    Fax: 770-479-6815
Dr. Sydney Okonoboh, DMD
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Practice Location: 2030 Cumming Hwy Ste 110, Canton, GA 30115
Phone: 678-818-8480    
Dr. Brenda Gail Fritz, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 104 Prominence Point Pkwy, Suite 102, Canton, GA 30114
Phone: 770-345-2551    Fax: 770-345-2234
Dr. William Dirk Russell, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8014 Cumming Hwy Suite 401, Canton, GA 30115
Phone: 770-345-2010    Fax: 770-345-0571
Dr. Scott Vidar Merritt, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 3755 Sixes Rd, Ste 100, Canton, GA 30114
Phone: 770-704-1812    Fax: 770-704-0379
Dr. Leigh Ann Patel, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12420 Cumming Hwy, Ste 306, Canton, GA 30115
Phone: 678-947-3600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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