Jonathan Maxwell Chrisenberry Threadgill
D.M.D. | Oral and Maxillofacial Surgeon | 13+ years Exp
1000 Johnson Ferry Rd Bldg H, Marietta
Georgia, 30068-5518
770-977-0364 678-483-8487
Maps & DirectionsJonathan Maxwell Chrisenberry Threadgill is a Marietta, Georgia based Oral and Maxillofacial Surgeon with
13 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 2012. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Jonathan Maxwell Chrisenberry Threadgill is
DN014348 for Oral and Maxillofacial Surgery in Georgia. His current practice location is
1000 Johnson Ferry Rd Bldg H, Marietta. Patients can reach him at
770-977-0364.
Jonathan Maxwell Chrisenberry Threadgill 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:
Jonathan Maxwell Chrisenberry Threadgill 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: | Jonathan Maxwell Chrisenberry Threadgill |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.M.D. |
| Experience: | 13+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2012 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1000 Johnson Ferry Rd Bldg H, Marietta,
Georgia, 30068-5518 |
| Phone: | 770-977-0364 |
| Fax: | 678-483-8487 |
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: | 3779749361 |
| Enrollment ID: | I20120726000126 |
| NPI Number: | 1093881021 |
| NPI Enumeration Date: | 28 Nov, 2006 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan Maxwell Chrisenberry Threadgill are as mentioned below.
| License Number | Specialization | State | Status | |
| DN014348 | Oral and Maxillofacial Surgery | Georgia | Primary | |
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 Jonathan Maxwell Chrisenberry Threadgill 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 Jonathan Maxwell Chrisenberry Threadgill such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 993983 | Other | Pennsylvania | UNITED CONCORDIA |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 Johnson Ferry Rd Bldg H,
Marietta, Georgia |
| Zip: | 30068-5518 |
| Phone Number: | 678-819-6536 |
| Fax Number: | 678-483-8487 |
Patients can reach Jonathan Maxwell Chrisenberry Threadgill at
1000 Johnson Ferry Rd Bldg H, Marietta, Georgia or can
call to book an appointment on 770-977-0364.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.