| Londry, Modlin, Tucker Ii Dds Pllc | |
|
705 Coliseum Dr Nw Winston-salem NC 27106-5312 | |
| (336) 721-7921 | |
| (336) 721-2011 |
| Full Name | Londry, Modlin, Tucker Ii Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 705 Coliseum Dr Nw, Winston-salem, North Carolina |
| Authorized Official Name and Position | Jalonda Sweeney (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7049978878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Londry, Modlin, Tucker Ii Dds Pllc 19810 W Catawba Ave Ste A1 Cornelius NC 28031-4056 Ph: (704) 997-8878 | Londry, Modlin, Tucker Ii Dds Pllc 705 Coliseum Dr Nw Winston-salem NC 27106-5312 Ph: (336) 721-7921 |
| NPI Number | 1700650371 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700650371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Tony Porter, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3031 Lyndhurst Ave, Winston-salem, NC 27103 Phone: 336-765-9154 Fax: 336-765-9291 | |
Joel A Black Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3314 Healy Dr, Suite 104, Winston-salem, NC 27103 Phone: 336-765-5421 Fax: 336-760-9952 | |
Leal And Spangler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Southpark Blvd, Suite C, Winston-salem, NC 27104 Phone: 336-788-5073 Fax: 336-788-1699 | |
Thomas G. Handy, D.d.s., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 S. Hawthorne Rd., Winston-salem, NC 27103 Phone: 336-765-7870 Fax: 336-765-3830 | |
Drs. Bailey, Peoples, & Oghalai, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Westgate Center Dr, Winston-salem, NC 27103 Phone: 336-765-5374 Fax: 336-760-3066 | |
T. Gordon Handy Dds P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 S. Hawthorne Rd., Winston-salem, NC 27103 Phone: 336-765-7870 Fax: 336-765-3830 |