Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053381178 Individual Practitioner Male Practitioner

Dr. Ian E Modestow , DMD

Dentist - General Practice • Florence, MA

Professional Overview & Biography Verified Profile Summary

Dr. Ian Modestow, DMD is a registered healthcare professional specializing in Dentist - General Practice in Florence, MA. Practice services are available at 190 NONOTUCK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

190 Nonotuck St
Suite 103

Florence, MA 010621911

Telephone 4135865887
Fax 4135865978
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Florence, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Florence, MA (3722 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 MA 20017

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ma Dental License
20017 (MA)
Commercial Insurance / Payer ID Blue Cross Blue Shield Ma
X11346 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Susan Schiffman , DDS

Dentist - General Practice

NPI 1275557902

Doctor of Dental Surgery

Dr. Bing Dai , DMD

Dentist - General Practice

NPI 1487989711

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 190 NONOTUCK ST, SUITE 103, FLORENCE, MA 010621911 (Tel: 4135865887)

📍
Updated Business Mailing Address July 08, 2007

Registered at 190 NONOTUCK ST, SUITE 103, FLORENCE, MA 010621911 (Tel: 4135865887)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IAN MODESTOW, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #20017 in MA)

🟢
Initial NPI Registration & Enumeration January 23, 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: 1053381178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

190 Nonotuck St, Suite 103

Florence, MA 010621911

Phone: 4135865887

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.