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Antwan Londell Treadway, DMD
Oral and Maxillofacial Surgery (Dentist) in Austell, Georgia
NPI 1972616878

Antwan Londell Treadway is a Oral and Maxillofacial Surgery (Dentist) based in Austell, GA and is specialized in Oral and Maxillofacial Surgery. Antwan Londell Treadway practices in Austell, GA and has the professional credentials of DMD. The NPI Number for Antwan Londell Treadway is 1972616878 and holds a License No. 12209 (Georgia).

The current practice location address for Antwan Londell Treadway is 1790 Mulkey Rd, Austell, GA and can be reached out via phone at 770-941-2476 and via fax at 770-941-5710.

Location: 1790 Mulkey Rd, Austell, GA, 30106-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972616878
Provider Name
Antwan Londell Treadway
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1790 Mulkey Rd, Austell, GA, 30106-1122
Phone Number
770-941-2476
Fax Number
770-941-5710
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000849439B 05 GA
000849439C 05 GA
institution
Provider Business Practice Location Address Details
Address
1790 Mulkey Rd
City
Austell
State
Georgia
Zip
30106-1122
Phone Number
770-941-2476
Fax Number
770-941-5710
person
Provider Business Mailing Address Details
Address
1790 Mulkey Rd
City
Austell
State
Georgia
Zip
30106-1122
Phone Number
770-941-2476
Fax Number
770-941-5710
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12209 (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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