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STACEY KINSEY, DMD PC
NPI 1508929084
Dentist - Oral and Maxillofacial Surgery in Douglasville, GA

Active since December 18, 2006
6043 PRESTLEY MILL RD, SUITE A, DOUGLASVILLE, GA 30134(770) 949-3797(770) 949-9077 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Kinsey, Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY KINSEY, DMD PC (NPI 1508929084) is a healthcare organization registered as an oral and maxillofacial surgery in Douglasville, Georgia and active in the NPI registry since December 2006. The organization lists Charles V. Kogler, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1508929084
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSTACEY KINSEY, DMD PC
Location Address6043 PRESTLEY MILL RD, SUITE ADouglasville, GA 30134-2280
Mailing Address6043 Prestley Mill Rd, Suite ADouglasville, GA 30134-2280 · (770) 949-3797 · Fax (770) 949-9077
Phone(770) 949-3797
Fax(770) 949-9077
Organization SubpartNo
Authorized OfficialCharles V. KoglerPractice Administrator · (770) 949-3797
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508929084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6043 PRESTLEY MILL RD, Douglasville, GA 30134
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Infectious Disease)
6043 PRESTLEY MILL RD, SUITE C
DOUGLASVILLE, GA 30134
Douglas County (770) 920-3076
DR. CHRISTOPHER JAMARL WATTS M.D.
Internal Medicine (Infectious Disease)
6043 PRESTLEY MILL RD, SUITE C
DOUGLASVILLE, GA 30134
Douglas County (770) 920-3076
DR. RICHARD W. KINSEY D.M.D.
Dentist (Oral and Maxillofacial Surgery)
6043 PRESTLEY MILL RD, SUITE A
DOUGLASVILLE, GA 30134
Douglas County (770) 949-3797
ORTHO SPORT AND SPINE PHYSICIANS DOUGLASVILLE
Physical Medicine & Rehabilitation
6043 PRESTLEY MILL RD
DOUGLASVILLE, GA 30134
Douglas County (678) 752-7246
TRACY KATHLEEN JONES FNP.C
Nurse Practitioner
6043 PRESTLEY MILL RD, SUITE D
DOUGLASVILLE, GA 30134
Douglas County (770) 739-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Kinsey, Dmd PC's NPI number?

The NPI number for Stacey Kinsey, Dmd PC is 1508929084. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Stacey Kinsey, Dmd PC located?

Stacey Kinsey, Dmd PC is located at 6043 Prestley Mill Rd Suite A, Douglasville, GA 30134. The listed phone number is (770) 949-3797.

What is Stacey Kinsey, Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Stacey Kinsey, Dmd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.