Organization
LONDRY & MODLIN XII DDS PLLC
Active
Other names
D Sim Siceloff DDS
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization
Contact information
Practice address
19 E 2ND AVE, LEXINGTON, NC 27292-3362
(336) 249-6524
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
11/29/2022
Last updated
04/09/2026
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