DR. KEVIN TRAMON BOLDEN (NPI# 1982626990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982626990 |
| Entity Type | Individual |
| Full Name | DR. KEVIN TRAMON BOLDEN |
| Credential | D.D.S. |
| Practice Address |
780 E West Connector Ste 108 Austell GA 30106-1349 |
| Mailing Address |
3805 Dallas Hwy Sw Ste 806 Marietta GA 30064-1620 |
| Practice Telephone | 7707027850 |
| Mailing Telephone | 6782033464 |
| Mailing Fax Number | 6784368119 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN015352 | GA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
27791 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1507574 | 05 | |
| TN | 1513024 | 05 |
| Street Address |
780 E WEST CONNECTOR STE 108 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992227896 | Christine M Keyser | Dentist | 780 E West Connector Ste 108, Austell, GA 30106-1312 | 2017-07-12 |
| 1992242465 | Saniya Setia | Dentist | 780 E West Connector Ste 108, Austell, GA 30106-1312 | 2017-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1558537373 | Darious N Nwadike, Dds PC | Dentist | 1025 E West Connector, Suite 360, Austell, GA 30106-8513 | 2008-05-01 |
| 1366632507 | Tia Monique Thomas | Dentist | 1133 East-west Connector, Ste 120, Austell, GA 30106 | 2007-07-25 |
| 1407055668 | Oluwatoyin Basirat Solarin | Dentist | 3048 Brass Dr, Austell, GA 30106-1042 | 2007-07-17 |
| 1497877658 | Austell Dental Associates, LLC | Dentist | 4750 Austell Rd, Austell, GA 30106-2004 | 2007-04-06 |
| 1437295805 | Austell Dental Center | Dentist | 3845 Medical Park Dr, Austell, GA 30106-1109 | 2007-01-30 |
| 1093882136 | Tarem Eric Hendricks | Dentist | 2495 East West Connector, Suite 60, Austell, GA 30106 | 2006-11-30 |
| 1407941263 | Darious N Nwadike | Dentist | 2255 E West Connector, Austell, GA 30106 | 2006-10-04 |
| 1609960137 | Thomas R Dix | Dentist | 4444 Austell Rd Ste 200, Austell, GA 30106-1844 | 2006-10-02 |
| 1083011654 | Austell Smiles Dentistry, PC | Dentist | 3999 Austell Rd, Suite 211, Austell, GA 30106-1100 | 2014-11-26 |
| Find all providers in AUSTELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.