| Dr Matthew Theriac, DDS | |
|
905 Jackson St, Macon, MO 63552-2016 | |
| (660) 385-3623 | |
| (660) 385-3526 |
| Full Name | Dr Matthew Theriac |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 905 Jackson St, Macon, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831269158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEO 15187 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Theriac, DDS 905 Jackson St, Macon, MO 63552-2016 Ph: (660) 385-3623 | Dr Matthew Theriac, DDS 905 Jackson St, Macon, MO 63552-2016 Ph: (660) 385-3623 |
Dr. Del Gene Gregory, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1609 Maffry Ave, Macon, MO 63552 Phone: 660-385-3413 Fax: 660-385-7069 | |
Dr. James A Wilson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 509 S Missouri St, Macon, MO 63552 Phone: 660-385-5761 | |
Dr. Robert Mayo Wilhite, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1609 Maffry Ave, Macon, MO 63552 Phone: 660-385-3413 Fax: 660-385-7069 | |
Dr. William Walter Marshall Ii, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1609 Maffry Ave, Macon, MO 63552 Phone: 660-385-3413 Fax: 660-385-7069 |