DAVID MODLIN & RYAN LONDRY II DDS PLLC NPI 1770075780

NPI Information

  • NPI: 1770075780
  • Provider Name: DAVID MODLIN & RYAN LONDRY II DDS PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: GREENSBORO DENTAL
  • CLIA Number: 34D2191534
  • Address: 5506 W FRIENDLY AVE
    GREENSBORO, NC
    ZIP 27410
  • Phone: (336) 203-9464

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NPI Details

DAVID MODLIN & RYAN LONDRY II DDS PLLC is a general practice dentist in Greensboro, NC. The provider is 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. DAVID MODLIN & RYAN LONDRY II DDS PLLC NPI is 1770075780. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greensboro Dental.

The provider's business location address is:

5506 W FRIENDLY AVE
GREENSBORO, NC
ZIP 27410-273
Phone: (336) 203-9464

The provider's authorized official is Lisa Kay Travis .
The authorized official title is Business Manager and has the following contact phone number (980) 231-5995.

The CLIA number assigned to this NPI record is 34D2191534 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 5/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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