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NPI 1023325255

NPI 1023325255 : JANYN KHRESTY BAIRD D.D.S. : DUNWOODY, GA

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General NPI Number Information
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    NPI Number           |    1023325255
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    Entity Type          |    Individual 
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    Provider Name        |    JANYN KHRESTY BAIRD D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/09/2010
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    1420 DUNWOODY VILLAGE PKWY 
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    City                 |    DUNWOODY
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    State                |    GA
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    Zip                  |    30338-4123
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    Country              |    US
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    Telephone            |    770-692-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1420 DUNWOODY VILLAGE PKWY 
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    City                 |    DUNWOODY
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    State                |    GA
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    Zip                  |    30338-4123
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    DN123976
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    25703
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    10727
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    License Number State |    CT
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