P Praxis·MD
● Active Type 2 · Organization

Stacey - Kinsey, Dmd, Pc

Dentist·Douglasville, GA· NPI 1164619599 · Enumerated 2007 · 18 years on NPI
Stacey - Kinsey, Dmd, Pc is 1 of 358 dentist organizations in Georgia.
NPI age
18 years
Enumerated 2007-10-01
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kinsey
Sec- Treas.
Last NPPES update
2007-10-01
Source: monthly bulk 2026-05

How this organization compares

Across 358 active dentist providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
6043 Prestley Mill Rd Ste A
Douglasville, GA 301342280
📞 7709493797fax 7709499077
Mailing address
6043 Prestley Mill Rd Ste A
Douglasville, GA 301342280
📞 7709493797fax 7709499077

Authorized official

Richard W. Kinsey, D.M.D.
Sec- Treas.
📞 7709493797

Specialties

  • Dentist Primary
    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.
    GA license #9063 taxonomy 1223S0112X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • West Atlanta Oral Surgery
    Type code 3 recorded 2007-10-01

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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