Londry & Modlin Xvii Dds Pllc

Specialty details in registry · Winston Salem, NC

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At a glance

1590 Westbrook Plaza Dr Ste 202, Winston Salem, NC 27103-2939

NPPES record updated Nov 10, 2025. Public records can lag behind changes at a practice.

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Practice location

1590 Westbrook Plaza Dr Ste 202
Winston Salem, NC 27103-2939

Professional details: NPI, taxonomy & registry record

NPI1639049109

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223P0300X
Enumeration date: Nov 10, 2025
Record updated: Nov 10, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223E0200X

Specialty details in registry

1223P0300X · Primary

Specialty details in registry

1223P0700X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1590 Westbrook Plaza Dr Ste 202
Winston Salem, NC 27103-2939

Phone: (743) 255-8011

Mailing address

19810 W CATAWBA AVE # A1

CORNELIUS, NC 280314056

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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