<Unavail>
LBN: Scott Jacks, Dds, Inc
<Unavail> is an health care organization with primary practice located at 2144 S Bristol St , Santa Ana CA 92704-5123. 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 (714) 619-6280, or through Minsky, Jerry David via phone (323) 564-2444.
Contact Information
Primary practice address
2144 S Bristol St
Santa Ana CA 92704-5123
Phone: (714) 619-6280
Fax: (323) 249-7565
Website:
Authorized official contact:
Name: Minsky, Jerry David Doctor of Dental Surgery (DDS)
Phone: (323) 564-2444
Health care specialties
| Specialty | Code | License # | 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 | 1871632745 |
|---|---|
| LBN Legal business name | Scott Jacks, Dds, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Minsky, Jerry David Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Sep 23rd, 2015 - about 11 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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