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Contact Information

LONDRY & MODLIN XVII DDS PLLC
1590 WESTBROOK PLAZA DR STE 202
WINSTON-SALEM, NC27103-2939
 Phone: 743-255-8011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
 

Endodontics

1223E0200X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for LONDRY & MODLIN XVII DDS PLLC

NPI Number 1639049109
LBN Legal business name LONDRY & MODLIN XVII DDS PLLC
Authorized official RYAN LONDRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2025
Last updated 11/10/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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