Ralph L. Jackson, Dds, PC

NPI #1518108190 in Cornelia, Georgia

Provider Information

NPI Number: 1518108190
Entity Type: Organization
Organization Name: Ralph L. Jackson, Dds, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 12, 2009
Last Updated: Aug 18, 2017

Practice Location

Address: 105 HIGHLAND AVE
City: Cornelia
State: Georgia
ZIP Code: 30531-4366
Phone: (706) 778-8645

Authorized Official

Name: RALPH L JACKSON, DDS
Title: CEO
Phone: (706) 778-8645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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