Matthew Theriac, D.D.S. LLC
Matthew Theriac, D.D.S. LLC is a healthcare organization registered as Health Maintenance Organization in Macon, MO, holding Type 2 (organization) NPI 1760679401 since 2007. The authorized official on file is Matthew Theriac, Doctor/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760679401 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matthew Theriac, D.D.S. LLC |
| Practice address | 905 JACKSON ST, Macon, MO, 63552 |
| Phone | 6603853623 |
| Enumeration date | 2007-09-26 |
| Last updated in NPPES | 2007-09-26 |
Authorized official
| Name | Matthew Theriac |
|---|---|
| Title | Doctor/Owner |
| Phone | 6603853623 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | Primary | 15187 | MO |
Copy-ready billing details
Provider: Matthew Theriac, D.D.S. LLC NPI: 1760679401 Taxonomy: 302R00000X (Health Maintenance Organization) Address: 905 JACKSON ST, Macon, MO, 63552
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831269158 | Matthew Theriac | Individual | General Practice Dentistry | Macon, MO |
Verify this record
Cross-check NPI 1760679401 against the authoritative CMS record: view Matthew Theriac, D.D.S. LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Matthew Theriac, D.D.S. LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-26.