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JAKE MODERY D.D.S.
NPI 1205217445
Dentist in Amarillo, TX

Active since June 13, 2015
9200 TOWN SQUARE BLVD, SUITE 1090, AMARILLO, TX 79119(806) 731-1180(806) 414-4680 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jake Modery D.d.s. NPPES

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

JAKE MODERY D.D.S. (NPI 1205217445) is an individual dentist in Amarillo, Texas, licensed in Texas (30983) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1205217445
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAKE MODERYCredential: D.D.S.
Location Address9200 TOWN SQUARE BLVD, SUITE 1090Amarillo, TX 79119-1250
Mailing Address5902 S Fannin StAmarillo, TX 79118-8807 · (806) 731-1180 · Fax (806) 414-4680
Phone(806) 731-1180
Fax(806) 414-4680
Sole ProprietorNo
Enumeration DateJune 13, 2015
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1205217445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 30983
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.
9200 TOWN SQUARE BLVD, Amarillo, TX 79119
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Other Providers at the Same Location NPPES

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

JAKE MODERY, D.D.S., P.C.
Dentist
9200 TOWN SQUARE BLVD, SUITE 1090
AMARILLO, TX 79119
Randall County (806) 731-1180

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 Jake Modery's NPI number?

The NPI number for Jake Modery is 1205217445. It was assigned to this individual provider in the NPPES registry on June 13, 2015.

Where is Jake Modery located?

Jake Modery practices at 9200 Town Square Blvd Suite 1090, Amarillo, TX 79119. The listed phone number is (806) 731-1180.

What is Jake Modery'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 Jake Modery was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.