Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Matthew Theriac, DDS

Individual provider General Practice Dentistry · NPI 1831269158

Dr. Matthew Theriac, DDS is a General Practice Dentistry in Macon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

905 Jackson St
Macon, MO 63552-2016
Phone: (660) 385-3623
Fax: (660) 385-3526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DEO 15187 (MO)

Record details

NPI number1831269158
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing address905 Jackson St, Macon, MO 63552-2016

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