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Active NPI 1205217445 Individual Practitioner Male Practitioner

Dr. Jake Modery , DDS

Dentist • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jake Modery, DDS is a registered healthcare professional specializing in Dentist in Amarillo, TX. Practice services are available at 9200 TOWN SQUARE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9200 Town Square Blvd
Suite 1090

Amarillo, TX 791191250

Telephone 8067311180
Fax 8064144680
Associated Practice Facility / Clinic
🏢 Jake Modery, D.d.s., P.c. Facility NPI 1538512421

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
53 Specialists

Practicing in Amarillo, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 30983

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2016

Registered at 9200 TOWN SQUARE BLVD, SUITE 1090, AMARILLO, TX 791191250 (Tel: 8067311180)

📍
Updated Business Mailing Address September 01, 2016

Registered at 5902 S FANNIN ST, AMARILLO, TX 791188807 (Tel: 8067311180)

👤
Provider Name / Credentials Updated September 01, 2016

Recorded as JAKE MODERY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Dentist (License #30983 in TX)

🟢
Initial NPI Registration & Enumeration June 13, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205217445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2015
Last Update: September 01, 2016
Sole Proprietor: No

Mailing Address

5902 S Fannin St

Amarillo, TX 791188807

Phone: 8067311180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.