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Contact Information

KATIE KICKERTZ DDS MS PLLC
6842 CARNEGIE BLVD STE 200
CHARLOTTE, NC28211-3500
 Phone: 980-423-1272
 Fax: 980-423-1273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for KATIE KICKERTZ DDS MS PLLC · (Female)

NPI # 1821788936
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2023
Last updated 05/11/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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