Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW THERIAC, D.D.S.
Active Sole ProprietorDR. MATTHEW THERIAC, D.D.S. is a General Dentistry healthcare provider located in MACON, Missouri. NPI 1831269158 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MACON, MO
Registration Details
- NPI Number
- 1831269158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.618399301038 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DEO 15187 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
905 JACKSON STMACON, MO, 635522016Browse MO providers · Browse ZIP 63552
- Phone
- 6603853623
- Fax
- 6603853526
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MACON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES A WILSON | DDS | 1538270384 |
| DR. ROBERT MAYO WILHITE | D.D.S. | 1710100110 |
| DR. DEL GENE GREGORY | D.D.S. | 1164645560 |
| DR. WILLIAM WALTER MARSHALL II | D.D.S. | 1750504148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.