Modlin & Londry Xvii DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MODLIN & LONDRY XVII DDS PLLC

Practice address

203 Boulevard St
High Point, NC 27262-4301

Phone

(336) 889-5466

Fax

(336) 889-6898

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Jessica Hunter

Title

Director of Network Relations

Phone

(704) 780-4597

Specialties & licenses 2

Addresses

Other names 1

• Triad Perio Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Glover, DMD

  • Periodontics
  • High Point, NC
  • NPI 1730036112
  NPD (past)
• Karen E Lanier, DDS MS

  • Oral and Maxillofacial Surgery (Dentist)
  • High Point, NC
  • NPI 1528160959

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1174466874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE STE C",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314057",
            "telephone_number": "704-780-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624301",
            "telephone_number": "336-889-5466",
            "fax_number": "336-889-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 E Center St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272923343",
            "country_code": "US",
            "telephone_number": "336-224-1665",
            "fax_number": "336-224-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODLIN & LONDRY XVII DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK RELATIONS",
        "authorized_official_telephone_number": "704-780-4597"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Perio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Thompson Mitchell, FNP
• Rebecca West Mitchell, PA-C
• Renee R. Mitchell, OT
• Mobile Dna Solutions L.L.C
• Mobile Med Inc
• Kathleen Jennings Moffitt, LPC
• Paul S Moiseyev, MD
• Monarch
• Monarch
• Monarch

• Oral and Maxillofacial Surgery (Dentist) in High Point, NC
• Providers in High Point, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.