Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW THERIAC, D.D.S. LLC
Active OrganizationMATTHEW THERIAC, D.D.S. LLC is a Health Maintenance Organization organization located in MACON, Missouri. NPI 1760679401 is currently active in the NPPES registry. Verify at CMS.
Health Maintenance Organization · MACON, MO
Registration Details
- NPI Number
- 1760679401
- Provider Type
- Organization
- NPI Issued
- Sep 26, 2007 (18.925122631536 yrs)
- Last Updated
- Sep 26, 2007
- License
-
15187 (MO)
Practice Information
- Address
-
905 JACKSON STMACON, MO, 635522016Browse MO providers · Browse ZIP 63552
- Phone
- 6603853623
- Primary Specialty
-
Health Maintenance Organization
302R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.