LAKESIDE DENTAL
NPI 1679822456
Dentist - General Practice in Cornelius, NC

Active since September 07, 2012
19824 W CATAWBA AVE, SUITE B, CORNELIUS, NC 28031(704) 987-9087(704) 987-9044 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE DENTAL (NPI 1679822456) is a healthcare organization registered as a general practice in Cornelius, North Carolina and active in the NPI registry since September 2012. The organization lists Nichole Dimascio, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679822456
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLONDRY & MODLIN DDS PLLC
Location Address19824 W CATAWBA AVE, SUITE BCornelius, NC 28031-4046
Mailing Address19824 W Catawba Ave, Suite BCornelius, NC 28031-4046 · (704) 987-9087 · Fax (704) 987-9044
Fax(704) 987-9044
Organization SubpartNo
Authorized OfficialNichole DimascioOffice Manager · (704) 987-9087
Enumeration DateSeptember 7, 2012
NPI 1679822456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
19824 W CATAWBA AVE, Cornelius, NC 28031

Other Names 1

Doing Business AsLakeside Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
19824 W CATAWBA AVE, SUITE G #201
CORNELIUS, NC 28031
Chiropractor
19824 W CATAWBA AVE, SUITE E
CORNELIUS, NC 28031
Counselor (Professional)
19824 W CATAWBA AVE
CORNELIUS, NC 28031
Social Worker (Clinical)
19824 W CATAWBA AVE
CORNELIUS, NC 28031
Counselor (Professional)
19824 W CATAWBA AVE, SUITE G-205
CORNELIUS, NC 28031
Social Worker (Clinical)
19824 W CATAWBA AVE
CORNELIUS, NC 28031
Social Worker (Clinical)
19824 W CATAWBA AVE, SUITE 204
CORNELIUS, NC 28031
Dentist (General Practice)
19824 W CATAWBA AVE
CORNELIUS, NC 28031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Londry & Modlin Dds PLLC's NPI number?

The NPI number for Londry & Modlin Dds PLLC is 1679822456. It was assigned to this organization in the NPPES registry on September 7, 2012. The provider is doing business as Lakeside Dental.

Where is Londry & Modlin Dds PLLC located?

Londry & Modlin Dds PLLC is located at 19824 W Catawba Ave Suite B, Cornelius, NC 28031. The listed phone number is (704) 987-9087.

What is Londry & Modlin Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Londry & Modlin Dds PLLC accept?

Health plans from UnitedHealthcare list Londry & Modlin Dds PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Londry & Modlin Dds PLLC was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.