Individual provider · Type 1 NPI

Antwan Londell Treadway, DMD

Oral and Maxillofacial Surgery (Dentist) · Austell, GA

NPI number 1972616878 Active

Practice location

1790 Mulkey Rd, Suite 3A
Austell, GA 30106-1122

Call (770) 941-2476 Map

Fax (770) 941-5710

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12209 (GA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDN13765 (FL)

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.

21 other providers at this address

About NPI 1972616878

Antwan Londell Treadway, DMD's National Provider Identifier is 1972616878, issued on Aug 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Austell, GA. The record was last updated on Jul 8, 2007.