IAN E MODESTOW, DMD (NPI# 1083902266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083902266 |
| Entity Type | Organization |
| Organization Name | IAN E MODESTOW, DMD |
| Other Organization Name | MODESTOW FAMILY DENTISTRY |
| Practice Address |
190 Nonotuck St Suite 101 Florence MA 01062-1962 |
| Practice Telephone | 4135865887 |
| Practice Fax Number | 4135849478 |
| Mailing Telephone | 4135865887 |
| Mailing Fax Number | 4135849478 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | MS. MICHELLE KERSBERGEN (OFFICE MANAGER) |
| Authorized Official Telephone | 4135865887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN20017 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BOARD OF REGISTRATION | DN13648 | 01 |
| MA | BOARD OF REGISTRATION | DN20017 | 01 |
| Other Name | Type Code |
|---|---|
| Modestow Family Dentistry | Doing Business As Name - Organization |
| Street Address |
190 NONOTUCK ST SUITE 101 |
| City | FLORENCE |
| State | MA |
| Zip Code | 01062-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215910708 | Wayne A. Schweitzer | Internal Medicine | 190 Nonotuck St, Florence, MA 01062-1911 | 2005-11-29 |
| 1306066477 | Ellen Cady Putnam | Advanced Practice Midwife | 190 Nonotuck St, Northampton Obgyn, Florence, MA 01062-1911 | 2007-04-30 |
| 1164540373 | Associates In Surgery, Inc | Specialist | 190 Nonotuck St, Suite 101, Florence, MA 01062-1911 | 2007-03-26 |
| 1275557902 | Susan V. Schiffman | Dentist | 190 Nonotuck St, Suite 101, Florence, MA 01062-1911 | 2006-07-26 |
| 1467486928 | Northampton Internal Medicine Associates, PC | Internal Medicine | 190 Nonotuck St, Florence, MA 01062-1911 | 2006-07-10 |
| 1750350138 | Edward J. Patton | Obstetrics & Gynecology | 190 Nonotuck St, Florence, MA 01062-1911 | 2006-03-16 |
| 1053381178 | Ian E Modestow | Dentist | 190 Nonotuck St, Suite 103, Florence, MA 01062-1911 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750427 | Amanda Fortier | Social Worker | 30 Riverside Drive, Florence, MA 01062 | 2016-10-10 |
| 1174984546 | Kelly Corrao-fisher | Counselor | 29 North Main St., Florence, MA 01062 | 2016-03-14 |
| 1629484100 | Nicole Marie Lempke | Licensed Practical Nurse | 29 N. Main St, Florence, MA 01062 | 2014-07-07 |
| 1538574082 | Allergy and Immunology Associates of New England, LLC | Allergy & Immunology | 269 Locust St., Suite 201, Florence, MA 01062 | 2014-06-24 |
| 1699190827 | Devin Donohoe | Counselor | 29 North Main St, Florence, MA 01062 | 2014-02-25 |
| 1992990568 | Jordana Metz Amato | Social Worker | 58 Fern Street, Florence, MA 01062 | 2007-09-07 |
| 1780808600 | Eleanor Ashton | Psychologist | 28 Gregory Lane, Florence, MA 01062 | 2007-04-12 |
| 1609992445 | David Lawrence Fradkin | Audiologist | 735 Westhampton Road, Northampton, MA 01062 | 2007-03-22 |
| 1184769069 | Nonotuck Resource Associates, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Main Street, Suite 1, Florence, MA 01062 | 2007-02-20 |
| 1780756791 | Theodora Noyes Mcdowell | Social Worker | 92 Main Street, Florence, MA 01062 | 2006-11-14 |
| Find all providers in zip 01062 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759802 | Dharaben Gajjar | Dentist | 718 Muirfield Pl, Florence, SC 29501-8718 | 2020-08-08 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1902468283 | Austin Larkin Smith | Dentist | 7901 Mall Rd Ste 500, Florence, KY 41042-3419 | 2019-07-08 |
| 1750819397 | Allyson Paige Engle | Dentist | 7668 Mall Rd Unit B, Florence, KY 41042-1593 | 2017-05-26 |
| 1104225325 | Irby Street Dental Health Center, P.C. | Dentist | 943 S Irby St Unit A, Florence, SC 29501-5238 | 2014-08-14 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| 1972842805 | Saishree Amin | Dentist | 310 Cox Creek Pkwy, Florence, AL 35630-1540 | 2013-02-13 |
| 1588929848 | Patricia Jordan Fast | Dentist | 1507 Heritage Ln, Suite A, Florence, SC 29505-3141 | 2012-07-11 |
| 1053678516 | Florence Dental Clinic | Dentist | 2750 Kingwood, Florence, OR 97430 | 2012-04-20 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.