Scott Jacks DDS Inc
NPI 1366549545ActiveOrganization· Dentist· South Gate, CA
Dentist in South Gate, California, registered in NPPES in September 2006. The authorized official on file is Jerry David Minsky, DDS, Owner.
Overview
| NPI | 1366549545 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Sep 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 31668 | AZ |
| Dentist, Endodontics | 1223E0200X | 31668 | CA |
| Dentist, Pediatric Dentistry | 1223P0221X | 31668 | CA |
| Dentist, Periodontics | 1223P0300X | 31668 | CA |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 31668 | CA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 31668 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other dentists in South Gate
- 1033234331
- 1114125887
- 1467668012
- 1578866430
- 1689695884
- 1770101081
- 1003255571
- 1083014450
- 1154705069
- 1184174856
- 1205496155
- 1255859823