Organization · Type 2 NPI
Londry, Modlin, Tucker IV DDS PLLC
Pediatric Dentistry · Waxhaw, NC
NPI number
1689427767
Active
Practice location
9817 Suzanne Ct Ste B
Waxhaw, NC 28173-6976
Mailing address
20311 Chartwell Center Dr., PO Box #2127
Cornelius, NC 28031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Waxhaw
About NPI 1689427767
Londry, Modlin, Tucker IV DDS PLLC's National Provider Identifier is 1689427767, issued on Apr 9, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Waxhaw, NC. The record was last updated on Apr 9, 2026.