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Dr. Shaletha M Bolden , DDS, MSD

Dentist - Endodontics • Canton, GA

Active NPI 1013171438 Individual Practitioner Female Practitioner
Practice location in NPPES

1425 Riverstone Pkwy Ste 200
Canton, GA 301145611

Call 7704790600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1425 Riverstone Pkwy Ste 200

Canton, GA 301145611

Telephone 7704790600
Organization at the Same NPPES Address or Phone
Canton Smiles Dentistry, Pc Facility NPI 1093149486

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

70 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$251 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $35.88 across 6 records.

By nature of payment

  • Food and Beverage: $19.61 across 2 records.
  • Gift: $16.27 across 4 records.

Reporting-company totals

  • Sonendo Inc: $35.88 across 6 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dentist - Endodontics in Georgia (2024, 90 clinicians with data). Median for this group: 78. Middle half: 37 to 166.

Too few clinicians listed under Dentist - Endodontics in Canton have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Dentist - Endodontics in Georgia (2024, 90 clinicians with data). Median for this group: $251. Middle half: $103 to $599.

Too few clinicians listed under Dentist - Endodontics in Canton have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Dentist - Endodontics with a practice address in Canton, GA (154 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $35.88.

Manufacturer Payment Nature Product Type Amount ($)
Sonendo Inc
Food and Beverage
Cash or cash equivalent
GentleWave G4 Console General $15.70
Sonendo Inc
Gift
Cash or cash equivalent
GentleWave G4 Console General $5.75
Sonendo Inc
Gift
Cash or cash equivalent
GentleWave G4 Console General $4.41
Sonendo Inc
Gift
Cash or cash equivalent
GentleWave G4 Console General $4.11
Sonendo Inc
Food and Beverage
Cash or cash equivalent
GentleWave G4 Console General $3.91
Sonendo Inc
Gift
Cash or cash equivalent
GentleWave G4 Console General $2.00

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 29 203 $96.86 27
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 19 63 $96.11 18
Tramadol Hcl Tramadol Hcl 11 39 $10.72 —
Ibuprofen Ibuprofen 11 110 $47.29 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES GA DN015429

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES TX 27790

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES TN 8802

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Megan Davidson , DMD

Dentist - General Practice

NPI 1346841624

Doctor of Dental Medicine

NPI 1215442017

Doctor of Dental Medicine

Dr. Jongbin Wie , DMD

Dentist - General Practice

NPI 1164101945

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (license number reported to NPPES: TX 27790)

âś…
NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2017

Registered at 1425 RIVERSTONE PKWY STE 200, CANTON, GA 301145611 (Tel: 7704790600)

📍
Updated Business Mailing Address September 08, 2017

Registered at 1425 RIVERSTONE PKWY, SUITE 200, CANTON, GA 30114 (Tel: (770) 479-0600)

👤
Provider Name / Credentials Updated September 08, 2017

Recorded as SHALETHA BOLDEN, DDS, MSD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Dentist (license number reported to NPPES: GA DN015429)

âś…
NPI Profile Active July 16, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 16, 2012

Registered at 6628 LAKE WORTH BLVD, SUITE 200, LAKE WORTH, TX 761353018 (Tel: 8172387984)

📍
Business Mailing Address (Initial Record) July 16, 2012

Registered at 6628 LAKE WORTH BLVD, SUITE 200, LAKE WORTH, TX 761353018 (Tel: 8172387984)

👤
Provider Name / Credentials (Initial Record) July 16, 2012

Recorded as SHALETHA BOLDEN, DDS, MSD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2012

Dentist (license number reported to NPPES: TX 27790)

🟢
Initial NPI Registration & Enumeration July 15, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013171438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2008
Last Update: July 21, 2022
Sole Proprietor: Yes

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Mailing Address

1425 Riverstone Pkwy, Suite 200

Canton, GA 30114

Phone: 7704790600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.