P Praxis·MD
● Active Type 1 · Individual

Antwan Londell Treadway, D.M.D.

Dentist·Austell, GA· NPI 1972616878 · Enumerated 2006 · 19 years on NPI
Treadway is 1 of 2 dentist providers in Austell and 1 of 358 in Georgia.
NPI age
19 years
Enumerated 2006-08-16
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1790 Mulkey Rd, Suite 3a
Austell, GA 301061122
📞 7709412476fax 7709415710
Mailing address
1790 Mulkey Rd, Suite 3a
Austell, GA 301061122
📞 7709412476fax 7709415710

Specialties

  • Dentist Primary
    The specialty of dentistry which includes 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.
    GA license #12209FL license #DN13765 taxonomy 1223S0112X

Identifiers

TypeValueNotes
05 (GA) 000849439B
05 (GA) 000849439C
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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