| Modlin & Londry Xvi Dds Llc | |
|
244 Latitude Ln Ste 103 Lake Wylie SC 29710-8125 | |
| (803) 831-2171 | |
| Not Available |
| Full Name | Modlin & Londry Xvi Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 244 Latitude Ln Ste 103, Lake Wylie, South Carolina |
| Authorized Official Name and Position | Ryan Londry (OWNER) |
| Authorized Official Contact | 9192706096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modlin & Londry Xvi Dds Llc 19810 W Catawba Ave Ste A1 Cornelius NC 28031-4056 Ph: (704) 780-4597 | Modlin & Londry Xvi Dds Llc 244 Latitude Ln Ste 103 Lake Wylie SC 29710-8125 Ph: (803) 831-2171 |
| NPI Number | 1508733825 |
|---|---|
| Provider Enumeration Date | 10/21/2025 |
| Last Update Date | 10/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508733825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Carolina Family Dentistry At Lake Wylie Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Latitude Ln Ste 103, Lake Wylie, SC 29710 Phone: 803-831-2171 Fax: 803-831-2172 |