Active NPIIndividual provider

Dr. Ian E Modestow, DMD

Dentist, General Practice in Florence, Massachusetts

NPI Number1053381178
Practice location
190 Nonotuck St, Suite 103, Florence, MA 01062-1911
Fax
413-586-5978
Last updated
July 13, 2026

Ian E Modestow is a Dentist, General Practice based in Florence, MA. Ian E Modestow practices in Florence, MA and has the professional credentials of DMD. The NPI Number for Ian E Modestow is 1053381178 and holds a License No. 20017 (MA). The current practice location address for Ian E Modestow is 190 Nonotuck St, Suite 103, Florence, MA 01062-1911 and can be reached out via phone at 413-586-5887 and via fax at 413-586-5978.

Provider Profile Details

NPI Number
1053381178
Provider Name
Ian E Modestow
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
190 Nonotuck St, Suite 103, Florence, MA 01062-1911
Phone Number
413-586-5887
Fax Number
413-586-5978
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Nonotuck St
Suite 103
Florence, MA 01062-1911
Zip
01062-1911
Phone Number
413-586-5887
Fax Number
413-586-5978
Florence, MA 01062Get directions →

Provider Business Mailing Address Details

Address
190 Nonotuck St
Suite 103
Florence, MA 01062-1911
City
Florence
State
MA
Zip
01062-1911
Phone Number
413-586-5887
Fax Number
413-586-5978

License Information

License Number
20017
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Florence, MA

View all Dentist, General Practice providers in Florence →

Frequently Asked Questions

What is the NPI number of Dr. Ian E Modestow, DMD?

The NPI number of Dr. Ian E Modestow, DMD is 1053381178. It was assigned on January 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ian E Modestow, DMD?

Dr. Ian E Modestow, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20017.

Where does Dr. Ian E Modestow, DMD practice?

The practice location is 190 Nonotuck St, Suite 103, Florence, MA 01062-1911. The office can be reached at 413-586-5887 (phone) or 413-586-5978 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053381178 directly on the NPPES registry website.

Browse related providers