Modery Family Dental

LBN: Jake Modery, D.D.S., P.C.
Modery Family Dental is an health care organization with primary practice located at 9200 Town Square Blvd Suite 1090, Amarillo TX 79119-1250. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Dental. Dental Providers / Dentist is the primary health care specialty. Jake Modery, D.D.S., P.C. can be contacted via phone (806) 731-1180, or through Modery, Jake via phone (806) 731-1180.

Contact Information

Primary practice address
9200 Town Square Blvd Suite 1090 Amarillo TX 79119-1250
Phone: (806) 731-1180
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Modery, Jake Doctor of Dental Surgery (DDS)
Phone: (806) 731-1180

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30983 Texas
Ambulatory Health Care Facilities / Dental 261QD0000X 30983 Texas

Profile Details

NPI number 1538512421
LBN Legal business name Jake Modery, D.D.S., P.C.
DBA Doing business as Modery Family Dental
Authorized official Modery, Jake Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2016
Last updated Sep 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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