DR. MATTHEW THERIAC D.D.S.
NPI 1831269158
Dentist - General Practice in Macon, MO

Q: What is Matthew Theriac's NPI number?

The NPI number for Matthew Theriac is 1831269158. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Matthew Theriac's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Theriac was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2006

905 JACKSON ST, MACON, MO 63552(660) 385-3623(660) 385-3526 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Matthew Theriac D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW THERIAC D.D.S. (NPI 1831269158) is an individual general practice provider in Macon, Missouri, licensed in Missouri (DEO 15187) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1831269158

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MATTHEW THERIACCredential: D.D.S.

Location Address905 JACKSON STMacon, MO 63552-2016

Mailing Address905 Jackson StMacon, MO 63552-2016 · (660) 385-3623 · Fax (660) 385-3526

Phone(660) 385-3623

Fax(660) 385-3526

Sole ProprietorYes

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1831269158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · DEO 15187

Definition

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.

905 JACKSON ST, Macon, MO 63552

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW THERIAC, D.D.S. LLC

Health Maintenance Organization

905 JACKSON ST
MACON, MO 63552

Macon County (660) 385-3623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Theriac's NPI number?

The NPI number for Matthew Theriac is 1831269158. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Matthew Theriac located?

Matthew Theriac practices at 905 Jackson St, Macon, MO 63552. The listed phone number is (660) 385-3623.

What is Matthew Theriac's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Matthew Theriac was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.