Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott Jacks, DDS, Inc

Organization Dentist · NPI 1497961858

Scott Jacks, DDS, Inc provides Dentist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2700 Colorado Blvd Ste 263
Los Angeles, CA 90041-1048 Not confirmed with CMS for 11 years — call before visiting
Phone: (323) 987-2175
Fax: (323) 543-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31668 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 31668 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 31668 (CA)

Record details

NPI number1497961858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Minsky — Owner · (323) 564-2444
Other names Children'S Dental Group
NPI enumeratedMay 15, 2007
Last updated in NPPESSeptember 23, 2015
Mailing address4444 Tweedy Blvd, South Gate, CA 90280-6304

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