# MODLIN & LONDRY XII DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538850961
- **Authorized official:** JALONDA SWEENEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (704) 997-8878

## Contact information

- **Practice address:** 831 S MAIN ST, MARS HILL, NC 28754-6273
- **Practice address phone:** (828) 689-4311
- **Mailing address:** 19810 W CATAWBA AVE STE 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:** 05/17/2023
- **Last updated:** 05/17/2023