P Praxis·MD
● Active Type 2 · Organization

Ralph L. Jackson, Dds, Pc

Clinic/Center·Cornelia, GA· NPI 1518108190 · Enumerated 2009 · 17 years on NPI
Ralph L. Jackson, Dds, Pc is 1 of 507 clinic/center organizations in Georgia.
NPI age
17 years
Enumerated 2009-03-12
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Ceo
Last NPPES update
2017-08-18
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
17 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-03Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
105 Highland Ave
Cornelia, GA 305314366
📞 7067788645fax 7067762650
Mailing address
105 Highland Ave
Cornelia, GA 305314366
📞 7067788645fax 7067762650

Authorized official

Ralph L Jackson, DDS
Ceo
📞 7067788645

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #DN009940GA license #DN014968GA license #DN013723 taxonomy 261QD0000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Cornelia Dental
    Type code 3 recorded 2015-06-27

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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