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

Jake Modery, DDS

Individual provider Dentist · NPI 1205217445

Jake Modery, DDS is a Dentist in Amarillo, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

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

Record details

NPI number1205217445
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 13, 2015
Last updated in NPPESSeptember 1, 2016
Mailing address5902 S Fannin St, Amarillo, TX 79118-8807

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