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 1780982074

Scott Jacks, DDS, Inc provides Dentist services in Sunnyvale, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

897 E El Camino Real
Sunnyvale, CA 94087-2937 Not confirmed with CMS for 11 years — call before visiting
Phone: (877) 567-6453
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 31668 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 31668 (CA)

Record details

NPI number1780982074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Minsky — Owner · (323) 564-2444
Other names Children'S Dental Group
NPI enumeratedMarch 10, 2011
Last updated in NPPESSeptember 23, 2015
Mailing address4444 Tweedy Blvd, South Gate, CA 90280-6304

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