Scott Jacks, Dds, Inc in South Gate - Pediatric Dentistry
Scott Jacks, Dds, Inc - NPI 1609041482
Scott Jacks, Dds, Inc is a Pediatric Dentistry in South Gate, 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 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 |
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Address | 4444 Tweedy Blvd, South Gate, California |
Phone Number | 3235642444 |
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 | 1609041482 |
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Provider Enumeration Date | 2008-04-23 |
Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
Address | 4444 Tweedy Blvd |
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City | South Gate |
State | California (CA) |
Post Code | 902806304 |
Phone Number | 3235642444 |
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 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 Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
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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