Londry & Modlin IV DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONDRY & MODLIN IV DDS PLLC

Doing business as

Midlakes Dental

Practice address

6573 Bob White TRL
Stanley, NC 28164-9797

Phone

(704) 827-4396

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By 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

Dr. Ryan Michael Londry, DDS

Title

Owner

Phone

(919) 270-6096

Specialties & licenses 1

Addresses

Other names 1

• Midlakes Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren Fitzhugh Hoyle, DDS

  • General Practice Dentistry
  • Stanley, NC
  • NPI 1700988169
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1912481441",
    "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": "6573 BOB WHITE TRL",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281649797",
            "telephone_number": "704-827-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY & MODLIN IV DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "LONDRY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-270-6096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlakes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Per Lykke Larsen, M.D.
• Corrin McKenna Lawter, BCBA
• Katelyn Lee
• Elroy Arnaldo Leonard
• Allison Link, MA, CCC-SLP
• Alexandra Faith Lowrance, DNP, FNP-C
• Jessica Elizabeth Maguire, LCSW
• Cynthia Manno
• Marylyn A Martin-Naar, M.D.
• Haley Alexis McGuirt, STUDENT (DMD)

• General Practice Dentistry in Stanley, NC
• Providers in Stanley, 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 Sep 20, 2018; 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.