Ryan Londry & David Modlin II DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RYAN LONDRY & DAVID MODLIN II DDS PLLC

Practice address

5408 NC Highway 49 S
Harrisburg, NC 28075-8469

Phone

(704) 455-9011

NPI assigned

Oct 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Kay Travis

Title

Business Manager

Phone

(704) 575-5409

Specialties & licenses 1

Addresses

Other names 1

• Harrisburg Dental Doing business as

Locations

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1184134751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE STE A1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056",
            "telephone_number": "704-997-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 NC HIGHWAY 49 S",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758469",
            "telephone_number": "704-455-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN LONDRY & DAVID MODLIN II DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "704-575-5409",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "Harrisburg Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Dave Robinette II, MD
• Kelly Robinson Painter, LPC
• Millie Elizabeth Robinson, M.A.
• Roger F Suclupe
• Rebecca Dawn Rung, MD
• Shaheen Shawn Safaie
• Safrit PLLC
• Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC III
• Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC VIII
• Stacy Valencia Samuel, PHARM D

• General Practice Dentistry in Harrisburg, NC
• Providers in Harrisburg, 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 Oct 9, 2017; 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.