IndividualActive
Brandi Owen Wilbanks
NPI 1780990655 · General Practice Dentistry · Cornelia, GA
Provider details
- NPI number
- 1780990655
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DN014092 (GA)
Specialties & taxonomies
Dental Providers
Practice location
157 Hodges St
Cornelia, GA 30531-3295
Phone: (706) 894-1919
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 459
Cornelia, GA 30531-0459
Registry dates
- Enumerated
- 2010-08-30
- Last updated
- 2010-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.