Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Scott Jacks, DDS, Inc

Organization Dentist · NPI 1043414576

Scott Jacks, DDS, Inc provides Dentist services in Carson, 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

20700 Avalon Blvd Ste 600
Carson, CA 90746-3701 Not confirmed with CMS for 11 years — call before visiting
Phone: (310) 241-6175
Fax: (323) 249-7565
Show map & directions

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 number1043414576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Minsky — Owner · (323) 564-2444
Other names Children'S Dental Group
NPI enumeratedJune 11, 2007
Last updated in NPPESSeptember 23, 2015
Mailing address20700 Avalon Blvd, Suite 600, Carson, CA 90746-3701

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