Stacey Kinsey, Dmd PC

NPI #1508929084 in Douglasville, Georgia

Provider Information

NPI Number
1508929084
Entity Type
Organization
Organization Name
Stacey Kinsey, Dmd PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
6043 PRESTLEY MILL RD
Address 2
SUITE A
State
Georgia
ZIP Code
30134-2280
Phone
(770) 949-3797

Authorized Official

Name
MR. CHARLES V. KOGLER, FACMPE
Title
PRACTICE ADMINISTRATOR
Phone
(770) 949-3797

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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