Stacey Kinsey, DMD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

STACEY KINSEY, DMD PC

Practice address

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

Phone

(770) 949-3797

Fax

(770) 949-9077

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles V. Kogler, FACMPE

Title

Practice Administrator

Phone

(770) 949-3797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508929084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 PRESTLEY MILL RD",
            "address_2": "SUITE 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",
            "address_2": "SUITE 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": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOGLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-949-3797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACMPE"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Starting Point Development Center

• 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 Aug 22, 2020; 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.