Londry, Modlin, Tucker III DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LONDRY, MODLIN, TUCKER III DDS PLLC

Practice address

5829 Phyliss LN
Mint Hill, NC 28227-9031

Phone

(704) 997-8878

NPI assigned

Jan 9, 2024

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 1

Addresses

Other names 1

• Carolina Kids Dentistry- Mint Hill Doing business as

Tax ID family

Carolina Kids Dentistry Mint Hill2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Londry, Modlin, Tucker III DDS PLLC

  • Pediatric Dentistry
  • Mint Hill, NC
  • NPI 1164281275
  NPD tax ID

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762646400000",
    "number": "1326819475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280312127",
            "telephone_number": "704-997-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 PHYLISS LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-997-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY, MODLIN, TUCKER III DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "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": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Kids Dentistry- Mint Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Kids Dentistry- Mint Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Limparis, PTA
• Abigail Christine Lisowski, PA
• Jared Michael Little, DDS, MSD
• Robin Loker, PT
• Londry, Modlin, Tucker III DDS PLLC
• Nancy Magyer, R.PH.
• Dylan Malloy, PA-C
• Cyril Manchery, DDS
• Janet E Mangum, DMD
• Stephanie Carrie Manning, DDS

• Pediatric Dentistry in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.