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

Scott Jacks, DDS, Inc

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1194928614

Scott Jacks, DDS, Inc is an Orthodontics and Dentofacial Orthopedics Dentistry in South Gate, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

4354 Tweedy Blvd
South Gate, CA 90280-6237
Phone: (323) 564-2444
Fax: (323) 249-7565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 31668 (CA)

Record details

NPI number1194928614
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 16, 2015
Mailing address4354 Tweedy Blvd, South Gate, CA 90280-6237

Other providers in South Gate