Organization Active NPI

Londry & Modlin X DDS PLLC

  • General Practice Dentistry
  • Statesville, NC
National Provider Identifier
1902535396
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LONDRY & MODLIN X DDS PLLC
Practice address
1207 Davie Ave
Statesville, NC 28677-3511
Phone
(704) 873-4271
Fax
(704) 873-0705
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1207 Davie Ave
Statesville, NC 28677-3511

Mailing address

19810 W Catawba Ave Ste A1
Cornelius, NC 28031-4056
Phone (704) 997-8878

Other names 1

  • Statesville Dental Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address information@statesvilledental.com
Direct Messaging Address information@statesvilledental.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1902535396",
    "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",
            "fax_number": "704-997-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773511",
            "telephone_number": "704-873-4271",
            "fax_number": "704-873-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY & MODLIN X DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@statesvilledental.com",
            "affiliation": "N",
            "address_1": "1207 Davie Ave",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286773511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@statesvilledental.com",
            "affiliation": "N",
            "address_1": "1207 Davie Ave",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286773511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Statesville Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Statesville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • 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.