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 1588703458

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

2156 E Lincoln Ave
Anaheim, CA 92806-4104 Not confirmed with CMS for 11 years — call before visiting
Phone: (714) 399-3140
Fax: (323) 249-7565
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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 number1588703458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Minsky — Owner · (323) 564-2444
Other names Children'S Dental Group
NPI enumeratedFebruary 6, 2007
Last updated in NPPESSeptember 23, 2015
Mailing address2156 E Lincoln Ave, Anaheim, CA 92806-4104

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