Modlin & Londry Xiv LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODLIN & LONDRY XIV LLC

Doing business as

Garden City Dental

Practice address

882 Cook Rd
Orangeburg, SC 29118-2126

Phone

(704) 997-8878

NPI assigned

Sep 20, 2024

Last updated

Oct 27, 2025By the provider in NPPES

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

• Garden City Dental Doing business as

Locations

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1790502946",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182126",
            "telephone_number": "704-997-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODLIN & LONDRY XIV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "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": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Henrietta Mills, FNP-BC
• William Walton Mims Jr., M.D.
• Minds Moving Forward
• Jessie Mizzell, PT/DPT
• Mmo Investments LLC (McDental Better Sleep)
• Andrea Moore
• Catherine Hammond Moore, PA-C
• Dorwin Tillman Moore, MD
• Harriet Turner Moorer, FNP
• Stephanie L Moorer, MA REHAB COUNSELING

• General Practice Dentistry in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.