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LONDRY, MODLIN, TUCKER II DDS PLLC
NPI 1700650371
Dentist - Pediatric Dentistry in Winston-salem, NC

Active since November 14, 2023
705 COLISEUM DR NW, WINSTON-SALEM, NC 27106(336) 721-7921(336) 721-2011 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Londry, Modlin, Tucker Ii Dds Pllc NPPES

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

LONDRY, MODLIN, TUCKER II DDS PLLC (NPI 1700650371), doing business as Silas Creek Adult And Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Winston-salem, North Carolina and active in the NPI registry since November 2023. The organization lists Jalonda Sweeney, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1700650371
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLONDRY, MODLIN, TUCKER II DDS PLLC
Location Address705 COLISEUM DR NWWinston-salem, NC 27106-5312
Mailing Address19810 W Catawba Ave Ste A1Cornelius, NC 28031-4056 · (704) 997-8878
Phone(336) 721-7921
Fax(336) 721-2011
Organization SubpartNo
Authorized OfficialJalonda SweeneyCredentialing Specialist · (704) 997-8878
Enumeration DateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1700650371 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
705 COLISEUM DR NW, Winston-salem, NC 27106
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Other Names 1

Doing Business AsSilas Creek Adult And Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 II Dds PLLC's NPI number?

The NPI number for Londry, Modlin, Tucker II Dds PLLC is 1700650371. It was assigned to this organization in the NPPES registry on November 14, 2023. The provider is doing business as Silas Creek Adult and Pediatric Dentistry.

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

Londry, Modlin, Tucker II Dds PLLC is located at 705 Coliseum Dr NW, Winston-Salem, NC 27106. The listed phone number is (336) 721-7921.

What is Londry, Modlin, Tucker II 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 II Dds PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Londry, Modlin, Tucker II 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 II Dds PLLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.