Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antwan Londell Treadway, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1972616878

Antwan Londell Treadway, DMD is an Oral Surgery in Austell, Georgia. Qualified in 1993, 33 years ago. Practices with Atlanta Oral and Facial Surgery LLC, a 24-clinician group. Licensed in Florida and Georgia.

Years since qualifying
33
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1790 Mulkey Rd Ste 3A
Austell, GA 30106-1122
Phone: (770) 941-2476
Fax: (770) 941-5710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12209 (GA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN13765 (FL)

Record details

NPI number1972616878
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Atlanta Oral And Facial Surgery Llc — 24 clinicians
Accepts Medicare assignment Not indicated

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