Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jake Modery, DDS, PC

Organization Dentist · NPI 1538512421

Jake Modery, DDS, PC provides Dentist services in Amarillo, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9200 Town Square Blvd Ste 1090
Amarillo, TX 79119-1250 Not confirmed with CMS for 10 years — call before visiting
Phone: (806) 731-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30983 (TX)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 30983 (TX)

Record details

NPI number1538512421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Modery — President · (806) 731-1180
Other names Modery Family Dental
NPI enumeratedJuly 15, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address5902 S Fannin St, Amarillo, TX 79118-8807

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