Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831269158 Individual Practitioner Male Practitioner

Dr. Matthew Theriac , DDS

Dentist - General Practice • Macon, MO

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Theriac, DDS is a registered healthcare professional specializing in Dentist - General Practice in Macon, MO. Practice services are available at 905 JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

905 Jackson St

Macon, MO 635522016

Telephone 6603853623
Fax 6603853526
Associated Practice Facility / Clinic
🏢 Matthew Theriac, D.d.s. Llc Facility NPI 1760679401

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Macon, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO DEO 15187

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 905 JACKSON ST, MACON, MO 635522016 (Tel: 6603853623)

📍
Updated Business Mailing Address July 08, 2007

Registered at 905 JACKSON ST, MACON, MO 635522016 (Tel: 6603853623)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW THERIAC, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DEO 15187 in MO)

🟢
Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831269158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

905 Jackson St

Macon, MO 635522016

Phone: 6603853623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.