Organization · Type 2 NPI

Londry, Modlin, Tucker II DDS PLLC

Pediatric Dentistry · Winston-Salem, NC

NPI number 1700650371 Active

Practice location

705 Coliseum Dr NW
Winston-Salem, NC 27106-5312

Fax (336) 721-2011

Mailing address

19810 W Catawba Ave Ste A1
Cornelius, NC 28031-4056

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XNone listed
Pediatric Dentistry Primary 1223P0221XNone 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.

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About NPI 1700650371

Londry, Modlin, Tucker II DDS PLLC's National Provider Identifier is 1700650371, issued on Nov 14, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Winston-Salem, NC. The record was last updated on Nov 14, 2023.