Scott Jacks, Dds, Inc in South Gate - Dentist

Scott Jacks, Dds, Inc - NPI 1609041482

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 1609041482. 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 3232497565. 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 3232497565
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 1609041482
Provider Enumeration Date 2008-04-23
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 3232497565

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 31668
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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FAQs about Scott Jacks, Dds, Inc

What is the unique 10-digit identification code issued to Scott Jacks, Dds, Inc by the Centers for Medicare & Medicaid Services?

The Scott Jacks, Dds, Inc has been assigned the NPI (National Provider Identifier) 1609041482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Scott Jacks, Dds, Inc is physically located?

The Scott Jacks, Dds, Inc is situated at the following address: 4444 Tweedy Blvd, South Gate, CA 902806304.

What is the Scott Jacks, Dds, Inc's specialty and taxonomy code?

The Scott Jacks, Dds, Inc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

When was the Scott Jacks, Dds, Inc's 1609041482 issued?

The Scott Jacks, Dds, Inc's 1609041482 was issued on 2008-04-23.

When was the information regarding Scott Jacks, Dds, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Scott Jacks, Dds, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-09-23.

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