Scott Jacks, Dds, Inc in Santa Ana - Pediatric Dentistry
Scott Jacks, Dds, Inc - NPI 1871632745
Scott Jacks, Dds, Inc is a Pediatric Dentistry in Santa Ana, 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 1871632745. The last update date is 2015-09-23.
Scott Jacks, Dds, Inc's current location address is 2144 S Bristol St, Santa Ana, California. You can contact this provider via phone number 7146196280 and fax number 3232497565. The mailing address for Scott Jacks, Dds, Inc is 2144 S Bristol St, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scott Jacks, Dds, Inc |
|---|---|
| Address | 2144 S Bristol St, Santa Ana, California |
| Phone Number | 7146196280 |
| 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 | 1871632745 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 2144 S Bristol St |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927045123 |
| Phone Number | 7146196280 |
| 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 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) 1871632745. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Scott Jacks, Dds, Inc's physical address?
The Scott Jacks, Dds, Inc is physically located at 2144 S Bristol St, in the city of Santa Ana, CA, with the postal code 927045123.
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 was the 1871632745 assigned to Scott Jacks, Dds, Inc?
The Scott Jacks, Dds, Inc was issued its 1871632745 on 2007-02-06, 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 details related to Scott Jacks, Dds, Inc most recently updated or revised?
The information pertaining to Scott Jacks, Dds, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-23.
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