Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497768295 Individual Practitioner Female Practitioner

Dr. Michelle Sarah Modaff , DDS

Dentist - General Practice • Avon Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Modaff, DDS is a registered healthcare professional specializing in Dentist - General Practice in Avon Park, FL. Practice services are available at 950 COUNTY ROAD 17A W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

950 County Road 17a W

Avon Park, FL 338252164

Telephone 8634523000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Avon Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Avon Park, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL HAD 33

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Stephen Young , DDS

Dentist - General Practice

NPI 1306974837

Doctor of Dental Surgery

Dr. Denise Gomara , DMD

Dentist - General Practice

NPI 1497887863

Doctor of Dental Medicine

NPI 1568457422

Doctor of Medicine (M.D.)

Dr. Lisa Campbell , DDS

Dentist - General Practice

NPI 1659594497

Doctor of Dental Surgery

Dr. Kimber Vasquez , MD

General Practice

NPI 1689803330

Doctor of Medicine (M.D.)

Jacinta Gaitor

Dentist - General Practice

NPI 1871785469

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location April 12, 2019

Registered at 950 COUNTY ROAD 17A W, AVON PARK, FL 338252164 (Tel: 8634523000)

📍
Updated Business Mailing Address April 12, 2019

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: 8632687850)

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 37944 PASCO AVE, DADE CITY, FL 335254202 (Tel: 3525182000)

📍
Updated Business Mailing Address March 23, 2017

Registered at PO BOX 232, DADE CITY, FL 335260232 (Tel: 3525182000)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as MICHELLE MODAFF, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Dentist (License #HAD 33 in FL)

NPI Profile Active March 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2012

Registered at 1502 E FOWLER AVE, TAMPA, FL 336125416 (Tel: 8137121930)

📍
Updated Business Mailing Address March 23, 2012

Registered at PO BOX 82969, TAMPA, FL 336822969 (Tel: 8138660930)

👤
Provider Name / Credentials Updated March 23, 2012

Recorded as MICHELLE MODAFF, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2012

Dentist (License #HAD 33 in FL)

🟢
Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497768295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: April 12, 2019
Sole Proprietor: No

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8632687850

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.