Children'S Dental Group

LBN: Scott Jacks, Dds, Inc
Children'S Dental Group is an health care organization with primary practice located at 1153 S King Rd , San Jose CA 95122-2144. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, 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
1153 S King Rd San Jose CA 95122-2144
Phone: (323) 564-2444
Fax:
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 California
Dental Providers / Pediatric Dentistry 1223P0221X 31668 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 31668 California

Profile Details

NPI number 1609041482
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 Apr 23rd, 2008
Last updated Sep 23rd, 2015 - about 10 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.

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