OrganizationActive
Cornelia Dental, LLC
NPI 1023435310 · Dental Clinic/Center · Cornelia, GA
Provider details
- NPI number
- 1023435310
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ralph Jackson, Owner(706) 778-8645
- License
- DN009940 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
105 Highland Ave
Cornelia, GA 30531-4366
Phone: (706) 778-8645
Fax: (706) 776-2650
Approximate (ZIP-level) locationGet directions
Mailing address
105 Highland Ave
Cornelia, GA 30531-4366
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2014-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.