IndividualActive
Chaitali Minama
NPI 1053099507 · General Practice Dentistry · Cornelia, GA
Provider details
- NPI number
- 1053099507
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN123999 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
341 Furniture Dr
Cornelia, GA 30531-5425
Phone: (706) 903-2335
Approximate (ZIP-level) locationGet directions
Mailing address
341 Furniture Dr
Cornelia, GA 30531-5425
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.