MEDICARE: MODLIN & LONDRY VIII DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1659034411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODLIN & LONDRY VIII DDS PLLC

Provider Business Mailing Address
First Line	:	19810 W CATAWBA AVE # A1
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-4056
Country	:	US
Telephone Number	:	704-997-8878
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 PARKWOOD MEDICAL PARK
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-2444
Country	:	US
Telephone Number	:	336-835-7113
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MRS. LISA KAY TRAVIS
Credential	:
Telephone Number	:	828-850-4316

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	10/19/2021

Similar Medicare Providers

1427020437 — DR. CRISTIN M TRECROCE DO
Practice Location Address:

380 PARKWOOD MEDICAL PARK
ELKIN, NC
28621-2444

Practice Phone: 336-835-9355
Practice Fax: 336-835-8581

1790757482 — DR. ANDRAS NEUMARK M.D.
Practice Location Address:

380 PARKWOOD MEDICAL PARK
ELKIN, NC
28621-2444

Practice Phone: 336-835-9355
Practice Fax: 336-835-8581

1023058930 — DR. DENNIS J BAUMAN M.D.
Practice Location Address:

380 PARKWOOD MEDICAL PARK
ELKIN, NC
28621-2444

Practice Phone: 336-835-9355
Practice Fax: 336-835-8581

1386506954 — RENEWED MOBILITY PROSTHETICS AND MARTHA ELIZABETH MATTHEWS SOLE MBR
Practice Location Address:

1816 N BRIDGE ST
ELKIN, NC
28621-2104

Practice Phone: 704-448-9000
Practice Fax:

1417469867 — MRS. PATRICIA COE HOOSIER FNP-BC
Practice Location Address:

400 JOHNSON RIDGE MEDICAL PARK
ELKIN, NC
28621-2447

Practice Phone: 336-526-4500
Practice Fax:

1124021282 — TENDER TOUCH HOME CARE INC.
Practice Location Address:

150 E MARKET ST
ELKIN, NC
28621-3464

Practice Phone: 336-526-8866
Practice Fax: 336-835-3220

Directions to “MODLIN & LONDRY VIII DDS PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.