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CHILDREN'S DENTAL GROUP
NPI 1043414576
Dentist in Carson, CA

Active since June 11, 2007
20700 AVALON BLVD, SUITE 600, CARSON, CA 90746(310) 241-6175(323) 249-7565 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN'S DENTAL GROUP (NPI 1043414576) is a healthcare organization registered as a dentist in Carson, California and active in the NPI registry since June 2007. The organization lists Jerry David Minsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1043414576
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSCOTT JACKS, DDS, INC
Location Address20700 AVALON BLVD, SUITE 600Carson, CA 90746-3701
Mailing Address20700 Avalon Blvd, Suite 600Carson, CA 90746-3701 · (310) 241-6175 · Fax (323) 249-7565
Phone(310) 241-6175
Fax(323) 249-7565
Organization SubpartNo
Authorized OfficialJerry David MinskyOwner · (323) 564-2444
Enumeration DateJune 11, 2007
Last NPPES UpdateSeptember 23, 2015
✔ NPI 1043414576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 31668
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 31668 (CA)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 31668 (CA)
20700 AVALON BLVD, Carson, CA 90746
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Other Names 1

Doing Business AsChildren's Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAMIE KONG DMD
Dentist (Pediatric Dentistry)
20700 AVALON BLVD
CARSON, CA 90746
Los Angeles County (323) 564-2444
DR. ARYA SINAI
Dentist (General Practice)
20700 AVALON BLVD
CARSON, CA 90746
Los Angeles County (310) 219-2982
WILLIAM K. SHIOMI, O.D., INC
Optometrist
20700 AVALON BLVD, SUITE #343
CARSON, CA 90746
Los Angeles County (310) 532-2622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Jacks, Dds, Inc's NPI number?

The NPI number for Scott Jacks, Dds, Inc is 1043414576. It was assigned to this organization in the NPPES registry on June 11, 2007. The provider is doing business as Children's Dental Group.

Where is Scott Jacks, Dds, Inc located?

Scott Jacks, Dds, Inc is located at 20700 Avalon Blvd Suite 600, Carson, CA 90746. The listed phone number is (310) 241-6175.

What is Scott Jacks, Dds, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Scott Jacks, Dds, Inc was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.