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LEWISVILLE PEDIATRIC DENTISTRY
NPI 1831913037
Dentist - Pediatric Dentistry in Lewisville, NC

Active since November 13, 2024
6570 SHALLOWFORD RD STE 110, LEWISVILLE, NC 27023(704) 997-8878 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lewisville Pediatric Dentistry NPPES

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

LEWISVILLE PEDIATRIC DENTISTRY (NPI 1831913037) is a healthcare organization registered as a pediatric dentistry in Lewisville, North Carolina and active in the NPI registry since November 2024. The organization lists Lisa Travis, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1831913037
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLONDRY, MODLIN, TUCKER V DDS PLLC
Location Address6570 SHALLOWFORD RD STE 110Lewisville, NC 27023-8651
Mailing Address20311 Chartwell Center Dr., Po Box 2127Cornelius, NC 28031
Phone(704) 997-8878
Organization SubpartNo
Authorized OfficialLisa TravisDirector Of Finance · (704) 997-8878
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1831913037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6570 SHALLOWFORD RD STE 110, Lewisville, NC 27023
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Other Names 1

Doing Business AsLewisville Pediatric Dentistry

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

Other Providers at the Same Location NPPES

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

CHAD E SHOBE DDS MS PLLC
Dentist (Pediatric Dentistry)
6570 SHALLOWFORD RD STE 110
LEWISVILLE, NC 27023
Forsyth County (336) 945-0735

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 V Dds PLLC's NPI number?

The NPI number for Londry, Modlin, Tucker V Dds PLLC is 1831913037. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is doing business as Lewisville Pediatric Dentistry.

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

Londry, Modlin, Tucker V Dds PLLC is located at 6570 Shallowford Rd Ste 110, Lewisville, NC 27023. The listed phone number is (704) 997-8878.

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

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

When was this NPI record last updated?

The NPPES record for Londry, Modlin, Tucker V Dds PLLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.