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Jonathan Maxwell Chrisenberry Threadgill, DMD
Oral and Maxillofacial Surgery (Dentist) in Marietta, Georgia
NPI 1093881021

Jonathan Maxwell Chrisenberry Threadgill is a Oral and Maxillofacial Surgery (Dentist) based in Marietta, GA and is specialized in Oral and Maxillofacial Surgery. Jonathan Maxwell Chrisenberry Threadgill practices in Marietta, GA and has the professional credentials of DMD. The NPI Number for Jonathan Maxwell Chrisenberry Threadgill is 1093881021 and holds a License No. DN014348 (Georgia).

The current practice location address for Jonathan Maxwell Chrisenberry Threadgill is 1000 Johnson Ferry Rd Bldg H, Marietta, GA and can be reached out via phone at 770-977-0364 and via fax at 678-483-8487.

Location: 1000 Johnson Ferry Rd Bldg H, Marietta, GA, 30068-5518
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Provider Profile Details
NPI Number
1093881021
Provider Name
Jonathan Maxwell Chrisenberry Threadgill
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1000 Johnson Ferry Rd Bldg H, Marietta, GA, 30068-5518
Phone Number
770-977-0364
Fax Number
678-483-8487
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
993983 01 PA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1000 Johnson Ferry Rd Bldg H
City
State
Zip
30068-5518
Phone Number
770-977-0364
Fax Number
678-483-8487
person
Provider Business Mailing Address Details
Address
1000 Johnson Ferry Rd Bldg H
City
State
Zip
30068-5518
Phone Number
770-977-0364
Fax Number
678-483-8487
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DN014348 (Georgia)
Definition
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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