David Modlin & Ryan Londry II DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID MODLIN & RYAN LONDRY II DDS PLLC

Practice address

5506 W Friendly Ave
Greensboro, NC 27410-4273

Phone

(336) 203-9464

NPI assigned

Jun 5, 2018

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

(980) 231-5995

Specialties & licenses 1

Addresses

Other names 1

• Greensboro Dental Doing business as

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1770075780",
    "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": "704-997-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104273",
            "telephone_number": "336-203-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MODLIN & RYAN LONDRY II DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "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": "980-231-5995",
        "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": "Greensboro Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greensboro Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Davenport
• Tyra Davenport
• David a. Plank, L.C.S.W., P.a.
• David Coleman Ma
• David M. Fisher, Jr, DDS, PA
• David N, Taylor, D.D.S.
• Jennifer Natashsa David, D.O.
• Jacqueline Davidowitz, OTR/L
• Courtney Jane Davidson, PT
• John Carl Davidson Jr., DPT,MOTR

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, 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 May 21, 2024; 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.