DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT JACKS, DDS, INC

Active Organization

SCOTT JACKS, DDS, INC is a Dentist organization located in CARSON, California. NPI 1043414576 is currently active in the NPPES registry. Verify at CMS.

Dentist · CARSON, CA

Registration Details

NPI Number
1043414576
Provider Type
Organization
NPI Issued
Jun 11, 2007 (19.182021880594 yrs)
Last Updated
Sep 23, 2015
Licenses
31668 (CA)
31668 (CA)
31668 (CA)

Practice Information

Address
20700 AVALON BLVD
SUITE 600
CARSON, CA, 907463701
Browse CA providers · Browse ZIP 90746
Phone
3102416175
Fax
3232497565
Primary Specialty
Dentist
122300000X
Additional Specialty
Orthodontics
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.