Antwan Londell Treadway
D.M.D. | Oral and Maxillofacial Surgeon | 32+ years Exp
1790 Mulkey Rd, Suite 3a, Austell
Georgia, 30106-1122
770-941-2476 770-941-5710
Maps & DirectionsAntwan Londell Treadway is a Austell, Georgia based Oral and Maxillofacial Surgeon with
32 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 1993 He is also affiliated with hospitals like
. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Antwan Londell Treadway is
12209 for Oral and Maxillofacial Surgery in Georgia. His current practice location is
1790 Mulkey Rd, Suite 3a, Austell. Patients can reach him at
770-941-2476.
Antwan Londell Treadway deals with 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.
Complete Profile:
Antwan Londell Treadway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Antwan Londell Treadway |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.M.D. |
| Experience: | 32+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1993 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1790 Mulkey Rd, Suite 3a, Austell,
Georgia, 30106-1122 |
| Phone: | 770-941-2476 |
| Fax: | 770-941-5710 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8820177793 |
| Enrollment ID: | I20080502000517 |
| NPI Number: | 1972616878 |
| NPI Enumeration Date: | 16 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Antwan Londell Treadway are as mentioned below.
| License Number | Specialization | State | Status | |
| 12209 | Oral and Maxillofacial Surgery | Georgia | Primary | |
| DN13765 | Oral and Maxillofacial Surgery | Florida | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (110184) | Douglasville, GA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Antwan Londell Treadway is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Atlanta Oral And Facial Surgery Llc (8628062387) | 23 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Antwan Londell Treadway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000849439B | Medicaid | Georgia | |
| 000849439C | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1790 Mulkey Rd, Suite 3a
Austell, Georgia |
| Zip: | 30106-1122 |
| Phone Number: | 770-941-2476 |
| Fax Number: | 770-941-5710 |
Patients can reach Antwan Londell Treadway at
1790 Mulkey Rd, Suite 3a, Austell, Georgia or can
call to book an appointment on 770-941-2476.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.