Scott Jacks, Dds, Inc in Anaheim - Pediatric Dentistry
Scott Jacks, Dds, Inc - NPI 1588703458
Scott Jacks, Dds, Inc is a Pediatric Dentistry in Anaheim, 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 1588703458. The last update date is 2015-09-23.
Scott Jacks, Dds, Inc's current location address is 2156 E Lincoln Ave, Anaheim, California. You can contact this provider via phone number 7143993140 and fax number 3232497565. The mailing address for Scott Jacks, Dds, Inc is 2156 E Lincoln Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Scott Jacks, Dds, Inc |
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Address | 2156 E Lincoln Ave, Anaheim, California |
Phone Number | 7143993140 |
Fax Number | 3232497565 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Minsky David Jerry |
Credentials | DDS |
Telephone Number | 3235642444 |
NPI Number Detail
NPI Number | 1588703458 |
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Provider Enumeration Date | 2007-02-06 |
Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
Address | 2156 E Lincoln Ave |
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City | Anaheim |
State | California (CA) |
Post Code | 928064104 |
Phone Number | 7143993140 |
Fax Number | 3232497565 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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. |
Post Comment/ Review Below
What is the unique identifier code issued to Scott Jacks, Dds, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Scott Jacks, Dds, Inc has been assigned the NPI (National Provider Identifier) 1588703458. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Scott Jacks, Dds, Inc's physical address?
The Scott Jacks, Dds, Inc is physically located at 2156 E Lincoln Ave, in the city of Anaheim, CA, with the postal code 928064104.
What is Scott Jacks, Dds, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Scott Jacks, Dds, Inc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588703458 to Scott Jacks, Dds, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1588703458 to Scott Jacks, Dds, Inc on 2007-02-06.
When was the information pertaining to Scott Jacks, Dds, Inc most recently updated or revised?
The details related to Scott Jacks, Dds, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-23.