Scott Jacks Dds Inc in South Gate - Dentist
Scott Jacks Dds Inc - NPI 1366549545
Scott Jacks Dds Inc is a Dentist in South Gate, California. Scott Jacks Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Scott Jacks Dds Inc is 1366549545. The last update date is 2015-09-23.
Scott Jacks Dds Inc's current location address is 4444 Tweedy Blvd, South Gate, California. You can contact this provider via phone number 3235642444 and fax number 5642497565. The mailing address for Scott Jacks Dds Inc is 4444 Tweedy Blvd, South Gate, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scott Jacks Dds Inc |
|---|---|
| Address | 4444 Tweedy Blvd, South Gate, California |
| Phone Number | 3235642444 |
| Fax Number | 5642497565 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Minsky David Jerry |
| Credentials | DDS |
| Telephone Number | 3235642444 |
NPI Number Detail
| NPI Number | 1366549545 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 4444 Tweedy Blvd |
|---|---|
| City | South Gate |
| State | California (CA) |
| Post Code | 902806304 |
| Phone Number | 3235642444 |
| Fax Number | 5642497565 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 31668 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Scott Jacks Dds Inc by the Centers for Medicare & Medicaid Services?
The Scott Jacks Dds Inc has been issued the NPI (National Provider Identifier) 1366549545, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Scott Jacks Dds Inc?
The Scott Jacks Dds Inc is physically situated at 4444 Tweedy Blvd, in the city of South Gate, state of CA, with the postal code 902806304.
What is Scott Jacks Dds Inc's area of expertise and its corresponding taxonomy classification?
The Scott Jacks Dds Inc's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1366549545 assigned to Scott Jacks Dds Inc?
The Scott Jacks Dds Inc was issued its 1366549545 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Scott Jacks Dds Inc's details last updated?
The information pertaining to the Scott Jacks Dds Inc, including its address, specialty, and other details, was most recently updated on 2015-09-23.
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