# MODLIN & LONDRY V DDS PLLC

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

## Provider details

- **NPI number:** 1770137713
- **Authorized official:** DR. RYAN MICHAEL LONDRY DDS (CEO)
- **Authorized official phone:** (919) 270-6096

## Contact information

- **Practice address:** 207 W WILSON ST, WINGATE, NC 28174-6748
- **Practice address phone:** (704) 486-8485
- **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:** 07/29/2019
- **Last updated:** 07/29/2019