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6570 Shallowford Rd Lewisville NC 27023-8651 | |
| (336) 945-5555 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6570 Shallowford Rd, Lewisville, North Carolina |
| Authorized Official Name and Position | John Carter Ward (OWNER) |
| Authorized Official Contact | 3369455555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6570 Shallowford Rd Lewisville NC 27023-8651 Ph: (336) 945-5555 | 6570 Shallowford Rd Lewisville NC 27023-8651 Ph: (336) 945-5555 |
| NPI Number | 1174349112 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174349112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Londry & Modlin Xv Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6570 Shallowford Rd Ste 100, Lewisville, NC 27023 Phone: 704-997-8878 | |