Londry & Modlin Xvii DDS PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

LONDRY & MODLIN XVII DDS PLLC

Practice address

1590 Westbrook Plaza Dr Ste 202
Winston Salem, NC 27103-2939

Phone

(743) 255-8011

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Ryan Londry, DDS

Title

Owner

Phone

(704) 780-4597

Specialties & licenses 3

Addresses

Other names 1

• WS Dental Specialists - Westbrook Doing business as

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1639049109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE # A1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056",
            "telephone_number": "704-780-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WESTBROOK PLAZA DR STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032939",
            "telephone_number": "743-255-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY & MODLIN XVII DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "LONDRY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-780-4597",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WS Dental Specialists - Westbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anitha Lokesh, M.D.
• Lollies Lactation
• Lollies Lactation
• Ellen Starr Lomax-Morgan
• Mary Lomberk, PHARM.D.
• Londry & Modlin Xviii DDS PLLC
• Londry & Modlin XX DDS PLLC
• Londry, Modlin, Tucker II DDS PLLC
• Sonja L Long-Williams, MSW, PLCSW,LCASP
• Ashley H. Long, PA-C

• Periodontics in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.