| Cornelia Dental | |
|
105 Highland Ave Cornelia GA 30531-4366 | |
| (706) 778-8645 | |
| (706) 776-2650 |
| Full Name | Cornelia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Highland Ave, Cornelia, Georgia |
| Authorized Official Name and Position | Ralph L Jackson (CEO) |
| Authorized Official Contact | 7067788645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornelia Dental 105 Highland Ave Cornelia GA 30531-4366 Ph: (706) 778-8645 | Cornelia Dental 105 Highland Ave Cornelia GA 30531-4366 Ph: (706) 778-8645 |
| NPI Number | 1518108190 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 08/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518108190 | NPI | - | NPPES |
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Cornelia Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Highland Ave, Cornelia, GA 30531 Phone: 706-778-8645 Fax: 706-776-2650 | |
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