Scott Jacks, DDS, Inc
Dentist · Baldwin Park, CA
Practice location
4138 Maine Ave Ste M2Baldwin Park, CA 91706-3302
- Phone
- (323) 564-2444
- Fax
- (323) 923-1088
NPI record
- NPI
- 1336542851
- Entity type
- Organization (Type 2)
- Enumeration date
- September 29, 2014
- Last updated
- November 25, 2015
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
31668 | CA |
| Pediatric Dentistry | 1223P0221X |
24464 | CA |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
31668 | CA |
Mailing address
4444 Tweedy BlvdSouth Gate, CA 90280-6304
- Phone
- (323) 564-2444
- Fax
- (323) 923-1088
Authorized official
- Name
- Dr. Jerry David Minsky, D.D.S.
- Title
- President
- Phone
- (323) 564-2444
Other names
- Children's Dental Group
About Scott Jacks, DDS, Inc
Scott Jacks, DDS, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4138 Maine Ave Ste M2, Baldwin Park, CA 91706-3302. The NPI number 1336542851 was assigned on September 29, 2014 and the record was last updated on November 25, 2015.
Scott Jacks, DDS, Inc lists 3 licenses in the registry: #31668 (CA) for Dentist; #24464 (CA) for Pediatric Dentistry; #31668 (CA) for Orthodontics and Dentofacial Orthopedics Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Jerry David Minsky, D.D.S., President.
Frequently asked questions
What is the NPI number of Scott Jacks, DDS, Inc?
The NPI number is 1336542851.
What is the phone number of Scott Jacks, DDS, Inc?
The phone number listed for the practice location is (323) 564-2444.
Where is Scott Jacks, DDS, Inc located?
4138 Maine Ave Ste M2, Baldwin Park, CA 91706-3302.
What is the taxonomy code for Scott Jacks, DDS, Inc?
The primary taxonomy code is 122300000X – Dentist; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Baldwin Park
- Humberto Ruiz, D.D.S.4157 Maine Ave
- Baldwin Park Dental13734 Ramona Blvd
- Dental Corporation of R. Paz, DDS., Inc14323 Ramona Blvd
- Reza Radmand D.M.D Inc.4070 Sterling Way
- Frank K. Cho I, DDS13020 Francisquito Ave Ste 7
- El Monte Dental Group13734 Ramona Ave
- Sama Makar, DDS4138 Maine Ave Ste M2
- Western Dental Services, Inc.14510 Baldwin Park Towne Ctr Ste G1
- Cohen Sedgh, Manavi & Pakravan Dental Corporation4000 La Rica Ave
- Baldwin Park Family Dental13020 Francisquito Ave
- Mohammad Kattee, DDS14607 Ramona Blvd
- Keivan Sarraf, DDS, Inc3060 Baldwin Park Blvd Ste D100