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:
Authorized official contact:
Name: Modery, Jake Doctor of Dental Surgery (DDS)
Phone: (806) 731-1180
Health care specialties
Specialty | Code | License # | 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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