Stacey - Kinsey, Dmd, PC

NPI #1164619599 in Douglasville, Georgia

Provider Information

NPI Number
1164619599
Entity Type
Organization
Organization Name
Stacey - Kinsey, Dmd, PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Oct 1, 2007
Last Updated
Oct 1, 2007

Practice Location

Address
6043 PRESTLEY MILL RD STE A
State
Georgia
ZIP Code
30134-2280
Phone
(770) 949-3797

Authorized Official

Name
DR. RICHARD W. KINSEY, D.M.D.
Title
SEC- TREAS.
Phone
(770) 949-3797

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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