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Scott Jacks DDS Inc

Dentist in South Gate, CA · enumerated 2006 · authorized official Jerry Minsky, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366549545

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Registry record

Entity type Organization (Type 2)
Legal business name Scott Jacks DDS Inc
Other name <Unavail>
Practice address 4444 Tweedy Blvd, South Gate, CA, 90280
Fax (564) 249-7565
Enumeration date Sep 20, 2006
Last updated in NPPES Sep 23, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License 31668 (AZ) Primary
1223E0200X Endodontics Dental Providers · License 31668 (CA) Secondary
1223P0221X Pediatric Dentistry Dental Providers · License 31668 (CA) Secondary
1223P0300X Periodontics Dental Providers · License 31668 (CA) Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 31668 (CA) Secondary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 31668 (CA) Secondary

Authorized official

Name Jerry Minsky
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-23. Verify at npiregistry.cms.hhs.gov.
Where is Scott Jacks DDS Inc located?
The practice location on file with NPPES is in South Gate, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-23.