Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Emily Modad

Individual provider Dental Anesthesiology · NPI 1982100475

Michelle Emily Modad is a Dental Anesthesiology in Mercer Island, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

3023 80th Ave SE Ste 200
Mercer Island, WA 98040-6014
Phone: (206) 690-5417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence DE61149859 (WA)

Record details

NPI number1982100475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2018
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address2519 13th Ave S, Seattle, WA 98144-5008

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