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Dr. James Welton Shealy, DDS
Pediatric Dentist in Cartersville, Georgia
NPI 1619044724

James Welton Shealy is a Pediatric Dentist based in Cartersville, GA and is specialized in Pediatric Dentistry. James Welton Shealy practices in Cartersville, GA and has the professional credentials of DDS. The NPI Number for James Welton Shealy is 1619044724 and holds a License No. 12013092A (Georgia).

The current practice location address for James Welton Shealy is 16 Felton Pl # B, Cartersville, GA and can be reached out via phone at 770-382-3536 and via fax at 770-382-1915.

Location: 16 Felton Pl # B, Cartersville, GA, 30120-2152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619044724
Provider Name
James Welton Shealy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16 Felton Pl # B, Cartersville, GA, 30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100517 01 GA AVESIS MEDICAID
9181146 01 GA DORAL MEDICAID
00746798B 05 GA
institution
Provider Business Practice Location Address Details
Address
16 Felton Pl # B
City
Cartersville
State
Georgia
Zip
30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
person
Provider Business Mailing Address Details
Address
16 Felton Pl # B
City
Cartersville
State
Georgia
Zip
30120-2152
Phone Number
770-382-3536
Fax Number
770-382-1915
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12013092A (Indiana)
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.
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