Jackson, Ralph L
Jackson, Ralph L is an individual health care provider with primary practice located at 105 Highland Ave , Cornelia GA 30531-4366. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Ralph L can be contacted via phone (706) 778-8645.Contact Information
Primary practice address
105 Highland Ave
Cornelia GA 30531-4366
Phone: (706) 778-8645
Fax: (706) 776-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | GA009940 | Georgia |
Profile Details
| NPI number | 1508869231 |
|---|---|
| LBN Legal business name | Jackson, Ralph L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2005 |
| Last updated | Mar 11th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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