Londry, Modlin, Tucker IV DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LONDRY, MODLIN, TUCKER IV DDS PLLC

Practice address

9817 Suzanne CT Ste B
Waxhaw, NC 28173-6976

Phone

(704) 997-8878

NPI assigned

Apr 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 2

Addresses

Other names 1

• Carolina Kids Dentistry - Blakeney Doing business as

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1689427767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 CHARTWELL CENTER DR.",
            "address_2": "PO BOX #2127",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9817 SUZANNE CT STE B",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736976",
            "telephone_number": "704-997-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY, MODLIN, TUCKER IV DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "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": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Kids Dentistry - Blakeney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Jane Levesque, PT
• Lifepath Holistic Counseling and Consulting, PLLC.
• Allison Whaley Lints, MED, NCC, LPCA
• Little Roots Therapy
• Whitney Boglioli Lodigiani, M.S. CCC-S:P
• Longevity NC, LLC
• Lorette M. Polite-Young DDS PA
• Gin Wen Lou
• Jenna Lowery, MOT/L
• Rachael Luscombe

• Pediatric Dentistry in Waxhaw, NC
• Providers in Waxhaw, 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 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.