Individual provider · Type 1 NPI

Kristen Kilgore, DDS

Oral and Maxillofacial Surgery (Dentist) · Charlotte, NC

NPI number 1730592858 Active

Practice location

8619 Jw Clay Blvd # 101
Charlotte, NC 28262-5418

Mailing address

5628 Closeburn Rd
Charlotte, NC 28210-3008

Other practice locations

  • 4799 Atlanta Hwy Ste 500, Loganville, GA 30052-7467 · (404) 720-6097
  • 2239 GA-20, Suite H, Conyers, GA 30013 · (770) 921-3565
  • 481 Munn Rd Ste 100, Fort Mill, SC 29715-0014 · (704) 761-6317

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10947 (NC)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDN124181 (GA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X11366 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1730592858

Kristen Kilgore, DDS's National Provider Identifier is 1730592858, issued on Jun 5, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charlotte, NC. The record was last updated on Oct 23, 2026.