Jake Modery, D.D.S.

Dentist · Amarillo, TX

Individual Active NPI

NPI number 1205217445

Practice location

9200 Town Square Blvd
Suite 1090
Amarillo, TX 79119-1250
Phone
(806) 731-1180
Fax
(806) 414-4680

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NPI record

NPI
1205217445
Entity type
Individual (Type 1)
Enumeration date
June 13, 2015
Last updated
September 1, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30983 TX

Mailing address

5902 S Fannin St
Amarillo, TX 79118-8807
Phone
(806) 731-1180
Fax
(806) 414-4680

About Dr. Modery

Jake Modery, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9200 Town Square Blvd, Suite 1090, Amarillo, TX 79119-1250. The NPI number 1205217445 was assigned on June 13, 2015 and the record was last updated on September 1, 2016.

Dr. Modery lists a license in the registry: #30983 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake Modery, D.D.S.?

The NPI number is 1205217445.

What is the phone number of Dr. Modery?

The phone number listed for the practice location is (806) 731-1180.

Where is Dr. Modery located?

9200 Town Square Blvd, Suite 1090, Amarillo, TX 79119-1250.

What is the taxonomy code for Dr. Modery?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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