Children'S Dental Group

LBN: Scott Jacks Dds Inc
Children'S Dental Group is an health care organization with primary practice located at 4444 Tweedy Blvd , South Gate CA 90280-6304. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Scott Jacks Dds Inc can be contacted via phone (323) 564-2444, or through Minsky, Jerry David via phone (323) 564-2444.

Contact Information

Primary practice address
4444 Tweedy Blvd South Gate CA 90280-6304
Phone: (323) 564-2444
Fax: (564) 249-7565
Website:
Map and Directions
Authorized official contact:
Name: Minsky, Jerry David Doctor of Dental Surgery (DDS)
Phone: (323) 564-2444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31668 Arizona
Dental Providers / Endodontics 1223E0200X 31668 California
Dental Providers / Pediatric Dentistry 1223P0221X 31668 California
Dental Providers / Periodontics 1223P0300X 31668 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 31668 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 31668 California

Profile Details

NPI number 1366549545
LBN Legal business name Scott Jacks Dds Inc
DBA Doing business as Children'S Dental Group
Authorized official Minsky, Jerry David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 23rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers