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

Scott Jacks, DDS, Inc

Organization Dentist · NPI 1336542851

Scott Jacks, DDS, Inc provides Dentist services in Baldwin Park, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

4138 Maine Ave Ste M2
Baldwin Park, CA 91706-3302 Not confirmed with CMS for 10 years — call before visiting
Phone: (323) 564-2444
Fax: (323) 923-1088
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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 24464 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 31668 (CA)

Record details

NPI number1336542851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Minsky — President · (323) 564-2444
Other names Children'S Dental Group
NPI enumeratedSeptember 29, 2014
Last updated in NPPESNovember 25, 2015
Mailing address4444 Tweedy Blvd, South Gate, CA 90280-6304

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