Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTWAN LONDELL TREADWAY, D.M.D.
ActiveANTWAN LONDELL TREADWAY, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in AUSTELL, Georgia. NPI 1972616878 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · AUSTELL, GA
Registration Details
- NPI Number
- 1972616878
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (19.986559391375 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
12209 (GA)DN13765 (FL)
Practice Information
- Address
-
1790 MULKEY RDSUITE 3AAUSTELL, GA, 301061122Browse GA providers · Browse ZIP 30106
- Phone
- 7709412476
- Fax
- 7709415710
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.