LONDRY & MODLIN XVIII DDS PLLC NPI 1881564458

NPI Information

  • NPI: 1881564458
  • Provider Name: LONDRY & MODLIN XVIII DDS PLLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 3809 FORRESTGATE DR STE A
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (743) 255-8011

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NPI Details

LONDRY & MODLIN XVIII DDS PLLC is a periodontics dentist in Winston Salem, NC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. LONDRY & MODLIN XVIII DDS PLLC NPI is 1881564458. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3809 FORRESTGATE DR STE A
WINSTON SALEM, NC
ZIP 27103-982
Phone: (743) 255-8011

The provider's authorized official is Jessica Hunter .
The authorized official title is Director Of Network Relations and has the following contact phone number (704) 780-4597.

The enumeration date for this NPI number is 11/10/2025 and was last updated on 11/10/2025.

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
11223E0200XDentistEndodonticsNo
21223P0700XDentistProsthodonticsNo
31223P0300XDentistPeriodonticsYes

What is NPI?

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

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