LONDRY MODLIN TUCKER V DDS PLLC NPI 1831913037

NPI Information

  • NPI: 1831913037
  • Provider Name: LONDRY, MODLIN, TUCKER V DDS PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: LEWISVILLE PEDIATRIC DENTISTRY
  • Address: 6570 SHALLOWFORD RD STE 110
    LEWISVILLE, NC
    ZIP 27023
  • Phone: (704) 997-8878

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NPI Details

LONDRY, MODLIN, TUCKER V DDS PLLC is a pediatric dentistry dentist in Lewisville, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LONDRY, MODLIN, TUCKER V DDS PLLC NPI is 1831913037. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lewisville Pediatric Dentistry.

The provider's business location address is:

6570 SHALLOWFORD RD STE 110
LEWISVILLE, NC
ZIP 27023-651
Phone: (704) 997-8878

The provider's authorized official is Lisa Travis .
The authorized official title is Director Of Finance and has the following contact phone number (704) 997-8878.

The enumeration date for this NPI number is 11/13/2024 and was last updated on 11/13/2024.

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
11223P0221XDentistPediatric DentistryYes

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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