IndividualActive
Ralph Jackson, DDS
NPI 1508869231 · General Practice Dentistry · Cornelia, GA
Provider details
- NPI number
- 1508869231
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- GA009940 (GA)
Specialties & taxonomies
Dental Providers
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
- 2005-05-26
- Last updated
- 2009-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.