RALPH L. JACKSON DDS PC NPI 1518108190

NPI Information

  • NPI: 1518108190
  • Provider Name: RALPH L. JACKSON, DDS, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: CORNELIA DENTAL
  • Address: 105 HIGHLAND AVE
    CORNELIA, GA
    ZIP 30531
  • Phone: (706) 778-8645

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NPI Details

RALPH L. JACKSON, DDS, PC is a dental clinic center in Cornelia, GA. RALPH L. JACKSON, DDS, PC NPI is 1518108190. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornelia Dental.

The provider's business location address is:

105 HIGHLAND AVE
CORNELIA, GA
ZIP 30531-366
Phone: (706) 778-8645
Fax: (706) 776-2650

The provider's authorized official is Ralph L Jackson .
The authorized official title is Ceo and has the following contact phone number (706) 778-8645.

The enumeration date for this NPI number is 3/12/2009 and was last updated on 8/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN014968GEORGIANo
2261QD0000XClinic/CenterDentalDN013723GEORGIANo
3261QD0000XClinic/CenterDentalDN009940GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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