Stacey - Kinsey, DMD, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9063 Issued in GA

Legal business name

STACEY - KINSEY, DMD, PC

Practice address

6043 Prestley Mill Rd Ste a
Douglasville, GA 30134-2280

Phone

(770) 949-3797

Fax

(770) 949-9077

NPI assigned

Oct 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard W. Kinsey, D.M.D.NPI 1598828063

Title

Sec- Treas.

Phone

(770) 949-3797

Specialties & licenses 1

Addresses

Other names 1

• West Atlanta Oral Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard W. Kinsey, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Douglasville, GA
  • NPI 1598828063
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1164619599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 PRESTLEY MILL RD STE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342280",
            "telephone_number": "770-949-3797",
            "fax_number": "770-949-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 PRESTLEY MILL RD STE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342280",
            "telephone_number": "770-949-3797",
            "fax_number": "770-949-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY - KINSEY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "SEC- TREAS.",
        "authorized_official_telephone_number": "770-949-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "9063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Atlanta Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamryn D Spivey
• Lajuan Spivey
• Ashley Springer, RBT
• Sr & L Transport Services, LLC
• Stability Rebooted, LLC
• Stacey Kinsey, DMD PC
• Richard John Staie, P.A.
• Standing on Solid Ground Inc
• Victoria Standish, RBT
• Dennis Lee Starkey, DDS

• Oral and Maxillofacial Surgery (Dentist) in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.