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General NPI Number Information
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NPI Number | 1083143432
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Entity Type | Individual
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Provider Name | CIERA JAYNA SCALES DDS, CAGS
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 3752 CASCADE RD SW STE 190
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City | ATLANTA
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State | GA
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Zip | 30331
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Country | US
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Telephone | 404-334-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 3126 HIGHWAY 155 SW
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5329
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Country | US
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Telephone | 770-361-9197
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN015310
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License Number State | GA
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