Ian E Modestow, DMD
General Practice Dentistry · Florence, MA
Practice location
190 Nonotuck StSuite 101
Florence, MA 01062-1962
- Phone
- (413) 586-5887
- Fax
- (413) 584-9478
NPI record
- NPI
- 1083902266
- Entity type
- Organization (Type 2)
- Enumeration date
- July 21, 2011
- Last updated
- July 21, 2011
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN20017 | MA |
Authorized official
- Name
- Ms. Michelle Kersbergen
- Title
- Office Manager
- Phone
- (413) 586-5887
Other names
- Modestow Family Dentistry
About Ian E Modestow, DMD
Ian E Modestow, DMD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 190 Nonotuck St, Suite 101, Florence, MA 01062-1962. The NPI number 1083902266 was assigned on July 21, 2011 and the record was last updated on July 21, 2011.
Ian E Modestow, DMD lists a license in the registry: #DN20017 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Ms. Michelle Kersbergen, Office Manager.
Frequently asked questions
What is the NPI number of Ian E Modestow, DMD?
The NPI number is 1083902266.
What is the phone number of Ian E Modestow, DMD?
The phone number listed for the practice location is (413) 586-5887.
Where is Ian E Modestow, DMD located?
190 Nonotuck St, Suite 101, Florence, MA 01062-1962.
What is the taxonomy code for Ian E Modestow, DMD?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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