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 SOUTH GATE, California. NPI 1366549545 is currently active in the NPPES registry. Verify at CMS.

Dentist · SOUTH GATE, CA

Registration Details

NPI Number
1366549545
Provider Type
Organization
NPI Issued
Sep 20, 2006 (19.889692404043 yrs)
Last Updated
Sep 23, 2015
Licenses
31668 (CA)
31668 (CA)
31668 (CA)
31668 (CA)
31668 (CA)

Practice Information

Address
4444 TWEEDY BLVD
SOUTH GATE, CA, 902806304
Browse CA providers · Browse ZIP 90280
Phone
3235642444
Fax
5642497565
Primary Specialty
Dentist
122300000X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Periodontology
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Orthodontics

Other Dentist Organizations in SOUTH GATE, CA

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.