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General NPI Number Information
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NPI Number | 1780560565
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Entity Type | Organization
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Legal Business Name | MODLIN & LONDRY XV DDS PLLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1030 MCKEE FARM LN
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City | BELMONT
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State | NC
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Zip | 28012-8687
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Country | US
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Telephone | 704-829-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 19180 W CATAWBA AVE STE. C
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City | CORNELIUS
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State | NC
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Zip | 28031-4057
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Country | US
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Telephone | 704-997-8878
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN LONDRY
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Credential |
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Telephone | 704-997-8878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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