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SCOTT JACKS DDS INC NPI 1497961858


NPI Information

NPI: 1497961858
Provider Name: SCOTT JACKS, DDS, INC

Doing Business As: CHILDREN'S DENTAL GROUP

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
2700 COLORADO BLVD STE 263
LOS ANGELES, CA
ZIP 90041
Phone: (323) 987-2175
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SCOTT JACKS, DDS, INC is a dentist in Los Angeles, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. SCOTT JACKS, DDS, INC NPI is 1497961858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Dental Group.

The provider's business location address is:

2700 COLORADO BLVD STE 263
LOS ANGELES, CA
ZIP 90041-048
Phone: (323) 987-2175
Fax: (323) 543-4247

The provider's authorized official is Jerry David Minsky .
The authorized official title is Owner and has the following contact phone number (323) 564-2444.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 9/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry31668CALIFORNIANo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics31668CALIFORNIANo
3122300000XDentist31668CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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