NPI age
12 years
Enumerated 2014-03-25
● Active Type 2 · Organization
Cornelia Dental, Llc
Cornelia Dental, Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner
Last NPPES update
2014-03-25
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
12 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-03Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
105 Highland Ave
Cornelia, GA 305314366
Mailing address
105 Highland Ave
Cornelia, GA 305314366
Authorized official
Ralph Leon Jackson, DDS
Owner
📞 7067788645
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ralph Jackson, DDS Dentist NPI 1508869231
- William Noggle, D.M.D Dentist NPI 1639334717
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.