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KATIE KICKERTZ DDS MS PLLC
NPI 1821788936
Dentist - Endodontics in Charlotte, NC

Active since May 11, 2023
6842 CARNEGIE BLVD STE 200, CHARLOTTE, NC 28211(980) 423-1272(980) 423-1273 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Kickertz Dds Ms Pllc NPPES

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

KATIE KICKERTZ DDS MS PLLC (NPI 1821788936), doing business as Premier Endodontics Of Southpark, is a healthcare organization registered as an endodontics in Charlotte, North Carolina and active in the NPI registry since May 2023. The organization lists Katie R Kickertz, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1821788936
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameKATIE KICKERTZ DDS MS PLLC
Location Address6842 CARNEGIE BLVD STE 200Charlotte, NC 28211-3500
Mailing Address6842 Carnegie Blvd Ste 200Charlotte, NC 28211-3500 · (980) 423-1272 · Fax (980) 423-1273
Phone(980) 423-1272
Fax(980) 423-1273
Organization SubpartNo
Authorized OfficialKatie R KickertzOwner Dentist · (815) 222-2102
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1821788936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
6842 CARNEGIE BLVD STE 200, Charlotte, NC 28211
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Other Names 1

Doing Business AsPremier Endodontics Of Southpark

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.

DR. KATIE KICKERTZ DDS, MS
Dentist (Endodontics)
6842 CARNEGIE BLVD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (980) 423-1272

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 Katie Kickertz Dds Ms PLLC's NPI number?

The NPI number for Katie Kickertz Dds Ms PLLC is 1821788936. It was assigned to this organization in the NPPES registry on May 11, 2023. The provider is doing business as Premier Endodontics of SouthPark.

Where is Katie Kickertz Dds Ms PLLC located?

Katie Kickertz Dds Ms PLLC is located at 6842 Carnegie Blvd Ste 200, Charlotte, NC 28211. The listed phone number is (980) 423-1272.

What is Katie Kickertz Dds Ms PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Katie Kickertz Dds Ms PLLC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.