Londry & Modlin XII DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONDRY & MODLIN XII DDS PLLC

Practice address

19 E 2ND Ave
Lexington, NC 27292-3362

Phone

(336) 249-6524

NPI assigned

Nov 29, 2022

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

• D Sim Siceloff DDS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Sim Siceloff, DDS

  • Dentist
  • Lexington, NC
  • NPI 1417294109
  NPD (past)

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1821708041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE STE 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": "19 E 2ND AVE",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923362",
            "telephone_number": "336-249-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY & MODLIN XII DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D Sim Siceloff DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D Sim Siceloff DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James R Long, M.D.
• Robert Earl Longo, MRC
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• Lorven Child and Family Development LLC
• Erika Morgan Lott, PA-C

• General Practice Dentistry in Lexington, NC
• Providers in Lexington, 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 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.