Matthew Theriac, DDS LLC
Matthew Theriac, DDS LLC is a Health Maintenance Organization in Macon, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
905 Jackson StMacon, MO 63552-2016
Phone: (660) 385-3623
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 15187 (MO) |
|---|
Record details
| NPI number | 1760679401 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Theriac — Doctor/Owner · (660) 385-3623 |
| NPI enumerated | September 26, 2007 |
| Last updated in NPPES | September 26, 2007 |
| Mailing address | 905 Jackson St, Macon, MO 63552-2016 |