Stacey Kinsey, Dmd Pc | |
6043 Prestley Mill Rd Suite A Douglasville GA 30134-2280 | |
(770) 949-3797 | |
(770) 949-9077 |
Full Name | Stacey Kinsey, Dmd Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6043 Prestley Mill Rd, Douglasville, Georgia |
Authorized Official Name and Position | Charles V. Kogler (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7709493797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacey Kinsey, Dmd Pc 6043 Prestley Mill Rd Suite A Douglasville GA 30134-2280 Ph: (770) 949-3797 | Stacey Kinsey, Dmd Pc 6043 Prestley Mill Rd Suite A Douglasville GA 30134-2280 Ph: (770) 949-3797 |
NPI Number | 1508929084 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508929084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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