Organization · Type 2 NPI

Scott Jacks, Dds, Inc

Orthodontics and Dentofacial Orthopedics Dentistry · South Gate, CA

NPI number 1194928614 Active

Practice location

4354 Tweedy Blvd
South Gate, CA 90280-6237

Fax (323) 249-7565

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X31668 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1194928614

Scott Jacks, Dds, Inc's National Provider Identifier is 1194928614, issued on Jun 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in South Gate, CA. The record was last updated on Sep 16, 2015.