Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Modery, DDS, PC

Organization Dentist · NPI 1538512421

Jake Modery, DDS, PC is a Dentist 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
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

Other providers in Amarillo