Modlin & Londry Xix DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODLIN & LONDRY XIX DDS PLLC

Practice address

317 Alcove Rd Ste 101
Mooresville, NC 28117-7632

Phone

(704) 508-9156

NPI assigned

Sep 3, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Travis

Title

Director

Phone

(704) 997-8878

Specialties & licenses 1

Addresses

Other names 1

• Total Dental Care of Lake Norman Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1104735216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ALCOVE RD STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177632",
            "telephone_number": "704-508-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ALCOVE RD STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177632",
            "telephone_number": "704-508-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODLIN & LONDRY XIX DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-997-8878"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Dental Care of Lake Norman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Missjoyanna Consulting LLC
• Angela Marie Mitchell, PT
• Brooke Kay Mitchell, PA-C
• Garner Mitchell
• Kristin M Mobley, MSW, LCSWA
• Benton John Moffett Jr., RPH
• Landra Jean Mohler
• Saif-Uddin Masood Mohsin, M.D.
• Sabrina A Molden, PH.D
• Monocle Eyeglass Gallery and Optometry, PLLC

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.