Ian E Modestow, DMD
Dentist, General Practice in Florence, Massachusetts
1083902266- Practice location
- 190 Nonotuck St, Suite 101, Florence, MA 01062-1962
- Phone
- 413-586-5887
- Fax
- 413-584-9478
- Last updated
- July 21, 2011
Ian E Modestow, DMD is a healthcare organization based in Florence, MA. Ian E Modestow, DMD practices in Florence, MA. The NPI Number for Ian E Modestow, DMD is 1083902266 and holds a License No. DN20017 (MA). The current practice location address for Ian E Modestow, DMD is 190 Nonotuck St, Suite 101, Florence, MA 01062-1962 and can be reached out via phone at 413-586-5887 and via fax at 413-584-9478.
Provider Profile Details
- NPI Number
- 1083902266
- Provider Name
- Ian E Modestow, DMD
- Provider Entity Type
- Organization
- Address
- 190 Nonotuck St, Suite 101, Florence, MA 01062-1962
- Phone Number
- 413-586-5887
- Fax Number
- 413-584-9478
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Ms. Michelle Kersbergen · Office Manager · 413-586-5887
- Other Names
- Modestow Family Dentistry (Doing Business As)
- Provider Enumeration Date
- July 21, 2011
- Last Update Date
- July 21, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 190 Nonotuck St
Suite 101
Florence, MA 01062-1962 - City
- Florence
- State
- Massachusetts
- Zip
- 01062-1962
- Phone Number
- 413-586-5887
- Fax Number
- 413-584-9478
Provider Business Mailing Address Details
- Address
- 190 Nonotuck St
Suite 101
Florence, MA 01062-1962 - City
- Florence
- State
- MA
- Zip
- 01062-1962
- Phone Number
- 413-586-5887
- Fax Number
- 413-584-9478
License Information
- License Number
- DN20017
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 →- 413 Sleep Better LLCDentist, General Practice · NPI 1033992896
- Bing Dai, DMDDentist, General Practice · NPI 1487989711
- Dr. Dara Darabi, DDSDentist, General Practice · NPI 1336160472
- Dr. Ian E Modestow, DMDDentist, General Practice · NPI 1053381178
- Dr. Mark W Stevens, DDSDentist, General Practice · NPI 1255310280
- Dr. Susan V Schiffman, DDSDentist, General Practice · NPI 1275557902
Frequently Asked Questions
What is the NPI number of Ian E Modestow, DMD?
The NPI number of Ian E Modestow, DMD is 1083902266. It was assigned on July 21, 2011 and is currently active in the NPPES registry.
What is the specialty of Ian E Modestow, DMD?
Ian E Modestow, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN20017.
Where does Ian E Modestow, DMD practice?
The practice location is 190 Nonotuck St, Suite 101, Florence, MA 01062-1962. The office can be reached at 413-586-5887 (phone) or 413-584-9478 (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 1083902266 directly on the NPPES registry website.