# MODLIN & LONDRY III DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monroe Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144709924
- **Authorized official:** DR. RYAN LONDRY DDS (OWNER)
- **Authorized official phone:** (919) 270-6096

## Contact information

- **Practice address:** 2200 WALTERS DIVISION RD, MONROE, NC 28110-8562
- **Practice address phone:** (704) 289-1105
- **Mailing address:** 19810 W CATAWBA AVE \# A1, CORNELIUS, NC 28031-4056
- **Mailing address phone:** (704) 997-8878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2018
- **Last updated:** 08/13/2018