DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RALPH L. JACKSON, DDS, PC

Active Organization

RALPH L. JACKSON, DDS, PC is a Dental Clinic organization located in CORNELIA, Georgia. NPI 1518108190 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · CORNELIA, GA

Registration Details

NPI Number
1518108190
Provider Type
Organization
NPI Issued
Mar 12, 2009 (17.241545708052 yrs)
Last Updated
Aug 18, 2017
Licenses
DN014968 (GA)
DN013723 (GA)
DN009940 (GA)

Practice Information

Address
105 HIGHLAND AVE
CORNELIA, GA, 305314366
Browse GA providers · Browse ZIP 30531
Phone
7067788645
Fax
7067762650
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic
Additional Specialty
Dental Clinic

Other Dental Clinic Organizations in CORNELIA, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.