Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE MODERY, D.D.S.
ActiveJAKE MODERY, D.D.S. is a Dentist healthcare provider located in AMARILLO, Texas. NPI 1205217445 is currently active in the NPPES registry. Verify at CMS.
Dentist · AMARILLO, TX
Registration Details
- NPI Number
- 1205217445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2015 (10.985738787924 yrs)
- Last Updated
- Sep 1, 2016
- License
-
30983 (TX)
Practice Information
- Address
-
9200 TOWN SQUARE BLVDSUITE 1090AMARILLO, TX, 791191250Browse TX providers · Browse ZIP 79119
- Phone
- 8067311180
- Fax
- 8064144680
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in AMARILLO, TX
| Name | Credential | NPI |
|---|---|---|
| GARY STEPHEN JENNINGS | DDS | 1588654461 |
| DR. CHARLES EDWARD SAUER JR. | DDS | 1033193842 |
| DR. STEVEN JACK AUSTIN | DDS | 1366557332 |
| CHARLES THOMAS CARR | DDS | 1164523445 |
| SONYA ALVARADO | DDS | 1912008202 |
| MR. HAROLD OLESEN | DDS | 1669565404 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.