NPI age
17 years
Enumerated 2008-07-15
● Active
Type 1 · Individual
Shaletha M Bolden, DDS, MSD
Bolden is 1 of 3 dentist providers in Canton and 1 of 200 in Georgia.
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, TX, TN
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 200 active dentist providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
State licenses
3 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Practice location
1425 Riverstone Pkwy Ste 200
Canton, GA 301145611
Mailing address
1425 Riverstone Pkwy, Suite 200
Canton, GA 30114
Specialties
-
Dentist PrimaryThe 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...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dentist provider has been added in Canton in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.