Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Kickertz DDS MS PLLC

Organization Endodontics · NPI 1821788936

Katie Kickertz DDS MS PLLC is an Endodontics in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6842 Carnegie Blvd Ste 200
Charlotte, NC 28211-3500
Phone: (980) 423-1272
Fax: (980) 423-1273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1821788936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie Kickertz — Owner Dentist · (815) 222-2102
Other names Premier Endodontics Of Southpark
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address6842 Carnegie Blvd Ste 200, Charlotte, NC 28211-3500

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