Scott Jacks, Dds, Inc in Anaheim - Orthodontics And Dentofacial Orthopedics
Scott Jacks, Dds, Inc - NPI 1588703458
Scott Jacks, Dds, Inc is a Orthodontics And Dentofacial Orthopedics in Anaheim, California. Scott Jacks, Dds, Inc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. 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 |
|---|---|
| Address | 2156 E Lincoln Ave, Anaheim, California |
| Phone Number | 7143993140 |
| 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 | 1588703458 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 2156 E Lincoln Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928064104 |
| Phone Number | 7143993140 |
| Fax Number | 3232497565 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 31668 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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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 Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
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.