Scott Jacks Dds Inc in Norwalk - Pediatric Dentistry
Scott Jacks Dds Inc - NPI 1790824662
Scott Jacks Dds Inc is a Pediatric Dentistry in Norwalk, California. Scott Jacks Dds Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Scott Jacks Dds Inc is 1790824662. The last update date is 2015-09-23.
Scott Jacks Dds Inc's current location address is 14119 Pioneer Blvd, Norwalk, California. You can contact this provider via phone number 5629292383 and fax number 3232497565. The mailing address for Scott Jacks Dds Inc is 14119 Pioneer Blvd, Norwalk, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scott Jacks Dds Inc |
|---|---|
| Address | 14119 Pioneer Blvd, Norwalk, California |
| Phone Number | 5629292383 |
| 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 | 1790824662 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 14119 Pioneer Blvd |
|---|---|
| City | Norwalk |
| State | California (CA) |
| Post Code | 906503925 |
| Phone Number | 5629292383 |
| Fax Number | 3232497565 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 31668 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique provider identifier assigned to Scott Jacks Dds Inc?
The Scott Jacks Dds Inc has been issued the NPI (National Provider Identifier) 1790824662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Scott Jacks Dds Inc's facilities are situated?
The facilities of Scott Jacks Dds Inc are physically located at the following address: 14119 Pioneer Blvd, Norwalk, CA, 906503925.
What is Scott Jacks Dds Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Scott Jacks Dds Inc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790824662 to Scott Jacks Dds Inc?
The Scott Jacks Dds Inc received its 1790824662 assignment from the Centers for Medicare & Medicaid Services on 2007-02-06.
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.