Individual provider · Type 1 NPI

Jake Modery, DDS

Dentist · Amarillo, TX

NPI number 1205217445 Active

Practice location

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

Call (806) 731-1180 Map

Fax (806) 414-4680

Mailing address

5902 S Fannin St
Amarillo, TX 79118-8807

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X30983 (TX)

Dentist: 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 requiremen…

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About NPI 1205217445

Jake Modery, DDS's National Provider Identifier is 1205217445, issued on Jun 13, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Amarillo, TX. The record was last updated on Sep 1, 2016.