Organization · Type 2 NPI

Stacey - Kinsey, Dmd, PC

Oral and Maxillofacial Surgery (Dentist) · Douglasville, GA

NPI number 1164619599 Active

Practice location

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

Fax (770) 949-9077

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9063 (GA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1164619599

Stacey - Kinsey, Dmd, PC's National Provider Identifier is 1164619599, issued on Oct 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Douglasville, GA. The record was last updated on Oct 1, 2007.