Individual provider · Type 1 NPI

Matthew Theriac, DDS

General Practice Dentistry · Macon, MO

NPI number 1831269158 Active

Practice location

905 Jackson St
Macon, MO 63552-2016

Fax (660) 385-3526

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDEO 15187 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1831269158

Matthew Theriac, DDS's National Provider Identifier is 1831269158, issued on Nov 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Macon, MO. The record was last updated on Jul 8, 2007.