Doctor profile · Federal record
Dr. Shaletha Bolden, DDS, MSD
Endodontist · Endodontist · Endodontist · Canton, GA
- NPI 1013171438
- 18 yrs on file
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1425 Riverstone Pkwy Ste 200
Canton, GA 301145611
(770) 479-0600 - Mailing address
-
1425 Riverstone Pkwy, Suite 200
Canton, GA 30114
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- July 21, 2022
- Specialty taxonomy
- 1223E0200X — NUCC code
- State licenses (3)
- Georgia #DN015429 · Texas #27790 · Tennessee #8802
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013171438. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$36
Transactions
6
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sonendo INC | 6 | $35.88 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
36
Patients
33
Total drug cost
$141
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 20 | 17 | $78 |
| Amoxicillin | Generic | 16 | 16 | $63 |
Frequently asked questions
What is Dr. Shaletha Bolden's medical specialty?
Dr. Shaletha Bolden practices Endodontist in Canton, GA.
Where does Dr. Shaletha Bolden practice?
Dr. Shaletha Bolden practices at 1425 Riverstone Pkwy Ste 200, Canton, GA 301145611. Office phone: 7704790600.
What is Dr. Shaletha Bolden's NPI?
Dr. Shaletha Bolden's National Provider Identifier (NPI) is 1013171438, issued by NPPES.