Ian E Modestow in Florence - General Practice
Ian E Modestow - NPI 1053381178
Ian E Modestow is a General Practice in Florence, Massachusetts. Ian E Modestow practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ian E Modestow is 1053381178. The last update date is 2007-07-08.
Ian E Modestow's current location address is 190 Nonotuck St, Florence, Massachusetts. You can contact this provider via phone number 4135865887 and fax number 4135865978. The mailing address for Ian E Modestow is 190 Nonotuck St, Florence, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ian E Modestow |
|---|---|
| Address | 190 Nonotuck St, Florence, Massachusetts |
| Phone Number | 4135865887 |
| Fax Number | 4135865978 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1053381178 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 190 Nonotuck St |
|---|---|
| City | Florence |
| State | Massachusetts (MA) |
| Post Code | 10621911 |
| Phone Number | 4135865887 |
| Fax Number | 4135865978 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 20017 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20017 | MA | MA DENTAL LICENSE | |
| X11346 | MA | BLUE CROSS BLUE SHIELD MA |
Post Comment/ Review Below
What is the unique identification code assigned to Ian E Modestow by the Centers for Medicare & Medicaid Services?
The Ian E Modestow has been issued the NPI (National Provider Identifier) 1053381178. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ian E Modestow is physically located?
The Ian E Modestow is physically situated at the following address: 190 Nonotuck St, Florence, MA, 10621911.
What is Ian E Modestow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ian E Modestow is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Ian E Modestow receive its 1053381178 assignment from the Centers for Medicare & Medicaid Services?
The Ian E Modestow was assigned its 1053381178 by the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date were the details pertaining to Ian E Modestow last refreshed?
The information related to the Ian E Modestow, including its address, specialty, and other relevant details, was last updated on 2007-07-08.