1. Home
  2. Directory
  3. North Carolina
  4. Waxhaw
  5. Dentist
  6. NPI Profile

LONDRY, MODLIN, TUCKER IV DDS PLLC
NPI 1689427767
Dentist - Pediatric Dentistry in Waxhaw, NC

Active since April 09, 2024
9817 SUZANNE CT STE B, WAXHAW, NC 28173(704) 997-8878 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Aug 13, 2024, Apr 25, 2024 and 1 more (4 updates tracked since 2024).

About Londry, Modlin, Tucker Iv Dds Pllc NPPES

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

LONDRY, MODLIN, TUCKER IV DDS PLLC (NPI 1689427767), doing business as Carolina Kids Dentistry - Blakeney, is a healthcare organization registered as a pediatric dentistry in Waxhaw, North Carolina and active in the NPI registry since April 2024. The organization lists Jessica Hunter, Director Of Network Relations, as its authorized official.

NPPES Registry Identity

NPI1689427767
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLONDRY, MODLIN, TUCKER IV DDS PLLC
Location Address9817 SUZANNE CT STE BWaxhaw, NC 28173-6976
Mailing Address20311 Chartwell Center Dr., Po Box #2127Cornelius, NC 28031
Phone(704) 997-8878
Organization SubpartNo
Authorized OfficialJessica HunterDirector Of Network Relations · (704) 780-4597
Enumeration DateApril 9, 2024
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1689427767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
9817 SUZANNE CT STE B, Waxhaw, NC 28173
Open in Google Maps ↗

Other Names 1

Doing Business AsCarolina Kids Dentistry - Blakeney

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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, Tucker IV Dds PLLC's NPI number?

The NPI number for Londry, Modlin, Tucker IV Dds PLLC is 1689427767. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Carolina Kids Dentistry - Blakeney.

Where is Londry, Modlin, Tucker IV Dds PLLC located?

Londry, Modlin, Tucker IV Dds PLLC is located at 9817 Suzanne Ct Ste B, Waxhaw, NC 28173. The listed phone number is (704) 997-8878.

What is Londry, Modlin, Tucker IV Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Londry, Modlin, Tucker IV Dds PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Londry, Modlin, Tucker IV 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, Tucker IV Dds PLLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.