Jonathan Maxwell Chrisenberry Threadgill, D.M.D. is an oral and maxillofacial surgery dentist in Marietta, GA with 12 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. Jonathan Maxwell Chrisenberry Threadgill, D.M.D. NPI is 1093881021. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1000 JOHNSON FERRY RD BLDG H
MARIETTA, GA
ZIP 30068-518
Phone: (770) 977-0364
Fax: (678) 483-8487
The NPI 1093881021 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/21/2022.