Jonathan Maxwell Chrisenberry Threadgill, D.M.D.

NPI #1093881021 in Marietta, Georgia

Provider Information

NPI Number
1093881021
Entity Type
Individual
Name
Jonathan Maxwell Chrisenberry Threadgill, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.M.D.
Enumeration Date
Nov 28, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
1000 JOHNSON FERRY RD BLDG H
State
Georgia
ZIP Code
30068-5518
Phone
(770) 977-0364

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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