Londry, Modlin, Tucker IV DDS Pllc
NPI #1689427767 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1689427767
- Entity Type
- Organization
- Organization Name
- Londry, Modlin, Tucker IV DDS Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 9, 2024
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 9817 SUZANNE CT STE B
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-6976
- Phone
- (704) 997-8878
Authorized Official
- Name
- MARY CHAFFIN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (704) 799-8878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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