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

Randolph L. Kixmiller, DDS, PA

Organization Dentist · NPI 1336317601

Randolph L. Kixmiller, DDS, PA provides Dentist services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 S Tryon St #1502
Charlotte, NC 28281-0001 Not confirmed with CMS for 18 years — call before visiting
Phone: (704) 342-4014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 103687 (NC)

Record details

NPI number1336317601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Kixmiller — Owner/President · (704) 342-4014
NPI enumeratedFebruary 20, 2008
Last updated in NPPESFebruary 20, 2008
Mailing address212 S Tryon St, 1502, Charlotte, NC 28281-0001

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