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NPI Code Detail

MEDICARE: DR. CIERA JAYNA SCALES DDS, CAGS

MEDICARE:  DR. CIERA JAYNA SCALES  DDS, CAGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN015310GA

General Provider Information

NPI Number : 1083143432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CIERA JAYNA SCALES DDS, CAGS
Provider Business Mailing Address
First Line : 3126 HIGHWAY 155 SW
Second Line :
City : STOCKBRIDGE
State : GA
Zip : 30281-5329
Country : US
Telephone Number : 770-361-9197
Fax Number :
Provider Business Practice Location Address
First Line : 3752 CASCADE RD SW STE 190
Second Line :
City : ATLANTA
State : GA
Zip : 30331
Country : US
Telephone Number : 404-334-5255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2017
Last Update Date : 04/06/2026

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Directions to “ DR. CIERA JAYNA SCALES DDS, CAGS” Practice Location

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