DR. RALPH L JACKSON (NPI# 1508869231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508869231 |
| Entity Type | Individual |
| Full Name | DR. RALPH L JACKSON |
| Credential | DDS |
| Practice Address |
105 Highland Ave Cornelia GA 30531-4366 |
| Practice Telephone | 7067788645 |
| Practice Fax Number | 7067762650 |
| Mailing Telephone | 7067788645 |
| Mailing Fax Number | 7067762650 |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
GA009940 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073763793 | Ralph T Jackson Jr. | Hearing Instrument Specialist | 2015 Palmyra Rd, Albany, GA 31701-1576 | 2008-09-30 |
| 1558467043 | Ralph A Jackson | Internal Medicine | 4390 Pleasant Hill Rd Ste D, Duluth, GA 30096-8054 | 2006-09-15 |
| 1558312637 | Ralph K. Jackson | Ophthalmology | 1727 Amsterdam Ave, 3rd Floor, New York, NY 10031-4611 | 2006-05-13 |
| 1104817154 | Ralph Dudley Jackson IIi | Dentist | 1400 Metro Dr, Alexandria, LA 71301-3451 | 2005-10-31 |
| 1750377271 | Ralph H Jackson | Optometrist | 105 Dawson St, Edinburg, TX 78539-6401 | 2005-09-20 |
| 1669950614 | Ralph Norman Jackson Jr. | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2018-08-01 |
| 1720107675 | Ralph Jackson | Licensed Practical Nurse | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-03-29 |
| 1033131446 | Ralph Jackson | Emergency Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-07-24 |
| 1609867522 | Ralph Dudley Jackson Jr. | Dentist | 1400 Metro Dr, Suite B, Alexandria, LA 71301-3451 | 2005-10-31 |
| Street Address |
105 HIGHLAND AVE |
| City | CORNELIA |
| State | GA |
| Zip Code | 30531-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023435310 | Cornelia Dental, LLC | Clinic/Center | 105 Highland Ave, Cornelia, GA 30531-4366 | 2014-03-25 |
| 1518108190 | Ralph L. Jackson, Dds, PC | Clinic/Center | 105 Highland Ave, Cornelia, GA 30531-4366 | 2009-03-12 |
| 1639334717 | William Loren Noggle | Dentist | 105 Highland Ave, Cornelia, GA 30531-4366 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932648540 | Jessica Hardeman Mcdonald | Pharmacist | 199 Habersham County Shopping Center, Cornelia, GA 30531 | 2017-02-15 |
| 1386963437 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 193 Brady Cemetery Rd, Baldwin, GA 30531 | 2010-05-27 |
| 1902006208 | Joshua Taebong Kang I | Dentist | 105 Highland Avenue, Cornelia, CA 30531 | 2007-07-24 |
| 1033256623 | Andrew J Brent | Counselor | 358 Highland Ave, Cornelia, GA 30531 | 2007-01-31 |
| 1336234301 | Patrick Kendall Mcshane | Dentist | 603 Clarkesville St, Cornelia, GA 30531 | 2006-10-04 |
| 1013015015 | David Dow Black IIi | Chiropractor | 799 Main Street North, Cornelia, GA 30531 | 2006-09-21 |
| 1245258714 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 250 Furniture Dr, Cornelia, GA 30531 | 2006-07-17 |
| 1437139201 | T.m.d.h., Inc. | Durable Medical Equipment & Medical Supplies | 639 Irvin St, Cornelia, GA 30531 | 2006-01-18 |
| 1154929487 | Thanh Duy Hoang | Pharmacist | 250 Furniture Dr, Cornelia, GA 30531 | 2020-10-09 |
| 1326524679 | Stephanie Chu | Pharmacist | 250 Furniture Dr, Cornelia, GA 30531 | 2018-07-18 |
| Find all providers in zip 30531 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902006208 | Joshua Taebong Kang I | Dentist | 105 Highland Avenue, Cornelia, CA 30531 | 2007-07-24 |
| 1720103963 | Donald Cantrell Jr. | Dentist | 157 Hodges St, Cornelia, GA 30531-3295 | 2007-03-20 |
| 1336234301 | Patrick Kendall Mcshane | Dentist | 603 Clarkesville St, Cornelia, GA 30531 | 2006-10-04 |
| 1518989680 | Stanley Kent White | Dentist | 307 Main St N, Cornelia, GA 30531-2124 | 2006-07-24 |
| 1780990655 | Brandi Allison Owen Wilbanks | Dentist | 157 Hodges St, Cornelia, GA 30531-3295 | 2010-08-30 |
| 1639334717 | William Loren Noggle | Dentist | 105 Highland Ave, Cornelia, GA 30531-4366 | 2008-07-28 |
| 1225163025 | John P Gale | Dentist | 1088 S Main St, Cornelia, GA 30531-3971 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1417556630 | Feyishayo Dahunsi | Dentist | 50 Main Street Market Pl Se Ste 500, Cartersville, GA 30121-3312 | 2020-10-19 |
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1770101131 | Fatima Hassan | Dentist | 722 Bonnie Oaks Ln, Evans, GA 30809-6114 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.