# LONDRY & MODLIN XV DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pleasant Garden Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578387775
- **Authorized official:** LISA TRAVIS (DIRECTOR OF FINANCE)
- **Authorized official phone:** (704) 997-8878

## Contact information

- **Practice address:** 2607 TABERNACLE CHURCH RD, PLEASANT GARDEN, NC 27313-9283
- **Practice address phone:** (336) 674-2325
- **Mailing address:** 20311 CHARTWELL CENTER DR., PO BOX 2127, CORNELIUS, NC 28031

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 07/21/2025