CHILDREN'S DENTAL GROUP
NPI 1609041482
Dentist in San Jose, CA

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

The NPI number for Scott Jacks, Dds, Inc is 1609041482. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider is doing business as Children's Dental Group.

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

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

Active since April 23, 2008

1153 S KING RD, SAN JOSE, CA 95122(323) 564-2444 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Dental Group NPPES

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

CHILDREN'S DENTAL GROUP (NPI 1609041482) is a healthcare organization registered as a dentist in San Jose, California and active in the NPI registry since April 2008. The organization lists Jerry David Minsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1609041482

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSCOTT JACKS, DDS, INC

Location Address1153 S KING RDSan Jose, CA 95122-2144

Mailing Address4444 Tweedy BlvdSouth Gate, CA 90280-6304 · (323) 564-2444 · Fax (323) 249-7565

Phone(323) 564-2444

Organization SubpartNo

Authorized OfficialJerry David MinskyOwner · (323) 564-2444

Enumeration DateApril 23, 2008

Last NPPES UpdateSeptember 23, 2015

✔ NPI 1609041482 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)

1153 S KING RD, San Jose, CA 95122

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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

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 1609041482. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider is doing business as Children's Dental Group.

Where is Scott Jacks, Dds, Inc located?

Scott Jacks, Dds, Inc is located at 1153 S King Rd, San Jose, CA 95122. The listed phone number is (323) 564-2444.

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.