| Modestow Family Dentistry | |
|
190 Nonotuck St Suite 101 Florence MA 01062-1962 | |
| (413) 586-5887 | |
| (413) 584-9478 |
| Full Name | Modestow Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 190 Nonotuck St, Florence, Massachusetts |
| Authorized Official Name and Position | Michelle Kersbergen (OFFICE MANAGER) |
| Authorized Official Contact | 4135865887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modestow Family Dentistry 190 Nonotuck St Suite 101 Florence MA 01062-1962 Ph: (413) 586-5887 | Modestow Family Dentistry 190 Nonotuck St Suite 101 Florence MA 01062-1962 Ph: (413) 586-5887 |
| NPI Number | 1083902266 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083902266 | NPI | - | NPPES |
| DN20017 | Other | MA | BOARD OF REGISTRATION |
| DN13648 | Other | MA | BOARD OF REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20017 (Massachusetts) | Primary |
413 Sleep Better Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 40 Main St Ste 204, Florence, MA 01062 Phone: 413-726-1333 Fax: 413-729-3646 | |
Modestow Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Nonotuck Street, Suite 101, Florence, MA 01062 Phone: 413-586-5887 | |
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