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 1790824662

Scott Jacks DDS Inc provides Dentist services in Norwalk, 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

14119 Pioneer Blvd
Norwalk, CA 90650-3925 Not confirmed with CMS for 11 years — call before visiting
Phone: (562) 929-2383
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 number1790824662
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 address14119 Pioneer Blvd, Norwalk, CA 90650-3925

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