Scott Jacks DDS Inc

Scott Jacks DDS Inc is a healthcare organization registered as Dentist in South Gate, CA, holding Type 2 (organization) NPI 1366549545 since 2006. The authorized official on file is Jerry Minsky, Owner.

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NPI	1366549545
Entity type	Organization (Type 2)
Legal business name	Scott Jacks DDS Inc
Other name	<Unavail>
Practice address	4444 TWEEDY BLVD, South Gate, CA, 90280
Phone	3235642444
Fax	5642497565
Enumeration date	2006-09-20
Last updated in NPPES	2015-09-23

Authorized official

Name	Jerry Minsky
Title	Owner
Phone	3235642444

Taxonomy & classification

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

Copy-ready billing details

Provider: Scott Jacks DDS Inc
NPI: 1366549545
Taxonomy: 122300000X (Dentist)
Address: 4444 TWEEDY BLVD, South Gate, CA, 90280

Providers at this address

NPI	Name	Type	Specialty	Location
1881740785	Ovidiu Barbu	Individual	General Practice Dentistry	South Gate, CA
1720134091	Modesto Luis	Individual	General Practice Dentistry	South Gate, CA
1801942172	Jay Lutsky	Individual	General Practice Dentistry	South Gate, CA
1619023983	Daniel Martinez	Individual	General Practice Dentistry	South Gate, CA
1780730051	Alice Pasion	Individual	General Practice Dentistry	South Gate, CA
1043356728	Sabina Wiederkehr	Individual	General Practice Dentistry	South Gate, CA
1497891261	Eleanor Siazon	Individual	General Practice Dentistry	South Gate, CA
1194861872	Irina Tarnavsky	Individual	General Practice Dentistry	South Gate, CA

Verify this record

Cross-check NPI 1366549545 against the authoritative CMS record: view Scott Jacks DDS Inc on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-09-23.