Organization
MODLIN & LONDRY X DDS PLLC
Active
Other names
Orchard Lake Dentistry, Derek C. Barnes, DMD Cosmetic and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization
Contact information
Practice address
1422 ORCHARD LAKE DR STE A, CHARLOTTE, NC 28270-1653
(704) 849-6700
Mailing address
19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
04/09/2026
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