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Organization

LONDRY & MODLIN XVIII DDS PLLC

Active
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Organization

LONDRY & MODLIN XVIII DDS PLLC

Active
Other names
WS Dental Specialists - Forrestgate
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization

Contact information

Practice address
3809 FORRESTGATE DR STE A, WINSTON SALEM, NC 27103-2982
(743) 255-8011
Mailing address
19810 W CATAWBA AVE NUM A1, CORNELIUS, NC 28031-4056
(743) 255-8011

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223P0300X
Periodontics
Primary
1223P0700X
Prosthodontics

Other

Enumeration date
11/10/2025
Last updated
11/10/2025
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