Scott Jacks, Dds, Inc in Los Angeles - Orthodontics And Dentofacial Orthopedics

Scott Jacks, Dds, Inc - NPI 1497961858

Scott Jacks, Dds, Inc is a Orthodontics And Dentofacial Orthopedics in Los Angeles, 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 1497961858. The last update date is 2015-09-23.

Scott Jacks, Dds, Inc's current location address is 2700 Colorado Blvd Ste 263, Los Angeles, California. You can contact this provider via phone number 3239872175 and fax number 3235434247. The mailing address for Scott Jacks, Dds, Inc is 2700 Colorado Blvd Ste 263, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Scott Jacks, Dds, Inc
Address 2700 Colorado Blvd Ste 263, Los Angeles, California
Phone Number 3239872175
Fax Number 3235434247
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 1497961858
Provider Enumeration Date 2007-05-15
Last Updated Date 2015-09-23

Provider Mailing Address Detail

Address 2700 Colorado Blvd Ste 263
City Los Angeles
State California (CA)
Post Code 900411048
Phone Number 3239872175
Fax Number 3235434247

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 31668
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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FAQs about Scott Jacks, Dds, Inc

What is the unique 10-digit identifier 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) 1497961858 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Scott Jacks, Dds, Inc is located?

The Scott Jacks, Dds, Inc is situated at the following address: 2700 Colorado Blvd Ste 263, Los Angeles, CA, 900411048.

What is Scott Jacks, Dds, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Scott Jacks, Dds, Inc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date was the 1497961858 assigned to Scott Jacks, Dds, Inc?

The Scott Jacks, Dds, Inc was issued its 1497961858 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Scott Jacks, Dds, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Scott Jacks, Dds, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-23.

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