James Welton Shealy in Cartersville - Pediatric Dentistry
James Welton Shealy - NPI 1619044724
James Welton Shealy is a Pediatric Dentistry in Cartersville, Georgia. James Welton Shealy practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for James Welton Shealy is 1619044724. The last update date is 2021-07-20.
James Welton Shealy's current location address is 16 Felton Pl # B, Cartersville, Georgia. You can contact this provider via phone number 7703823536 and fax number 7703821915. The mailing address for James Welton Shealy is 16 Felton Pl # B, Cartersville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Welton Shealy |
|---|---|
| Address | 16 Felton Pl # B, Cartersville, Georgia |
| Phone Number | 7703823536 |
| Fax Number | 7703821915 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619044724 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2021-07-20 |
Provider Mailing Address Detail
| Address | 16 Felton Pl # B |
|---|---|
| City | Cartersville |
| State | Georgia (GA) |
| Post Code | 301202152 |
| Phone Number | 7703823536 |
| Fax Number | 7703821915 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12013092A |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100517 | GA | AVESIS MEDICAID | |
| 9181146 | GA | DORAL MEDICAID | |
| 00746798B | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to James Welton Shealy by the Centers for Medicare & Medicaid Services?
The James Welton Shealy has been issued the NPI (National Provider Identifier) 1619044724. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Welton Shealy?
The James Welton Shealy is situated at 16 Felton Pl # B, in the city of Cartersville, state of GA, with the zip code 301202152.
What is the James Welton Shealy's specialty and taxonomy code?
The James Welton Shealy's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did James Welton Shealy receive its 1619044724 assignment from the Centers for Medicare & Medicaid Services?
The James Welton Shealy was assigned its 1619044724 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to James Welton Shealy most recently updated or revised?
The details related to James Welton Shealy, including its address, specialty, and other relevant information, were last updated or revised on 2021-07-20.
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