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CORNELIA DENTAL, LLC
NPI 1023435310
Clinic/Center - Dental in Cornelia, GA

Active since March 25, 2014
105 HIGHLAND AVE, CORNELIA, GA 30531(706) 778-8645(706) 776-2650 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornelia Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELIA DENTAL, LLC (NPI 1023435310) is a healthcare organization registered as a dental in Cornelia, Georgia and active in the NPI registry since March 2014. The organization lists Ralph Leon Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1023435310
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCORNELIA DENTAL, LLC
Location Address105 HIGHLAND AVECornelia, GA 30531-4366
Mailing Address105 Highland AveCornelia, GA 30531-4366 · (706) 778-8645 · Fax (706) 776-2650
Phone(706) 778-8645
Fax(706) 776-2650
Organization SubpartNo
Authorized OfficialRalph Leon JacksonOwner · (706) 778-8645
Enumeration DateMarch 25, 2014
✔ NPI 1023435310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in GA · DN009940
105 HIGHLAND AVE, Cornelia, GA 30531
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RALPH L JACKSON DDS
Dentist (General Practice)
105 HIGHLAND AVE
CORNELIA, GA 30531
Habersham County (706) 778-8645
RALPH L. JACKSON, DDS, PC
Clinic/Center (Dental)
105 HIGHLAND AVE
CORNELIA, GA 30531
Habersham County (706) 778-8645
WILLIAM LOREN NOGGLE D.M.D
Dentist (General Practice)
105 HIGHLAND AVE
CORNELIA, GA 30531
Habersham County (706) 778-8645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornelia Dental, LLC's NPI number?

The NPI number for Cornelia Dental, LLC is 1023435310. It was assigned to this organization in the NPPES registry on March 25, 2014.

Where is Cornelia Dental, LLC located?

Cornelia Dental, LLC is located at 105 Highland Ave, Cornelia, GA 30531. The listed phone number is (706) 778-8645.

What is Cornelia Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cornelia Dental, LLC was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.