Matthew Theriac, D.D.S. Llc

LBN: Matthew Theriac, D.D.S. Llc
Matthew Theriac, D.D.S. Llc is an health care organization with primary practice located at 905 Jackson St , Macon MO 63552-2016. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Matthew Theriac, D.D.S. Llc can be contacted via phone (660) 385-3623, or through Theriac, Matthew via phone (660) 385-3623.

Contact Information

Primary practice address
905 Jackson St Macon MO 63552-2016
Phone: (660) 385-3623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Theriac, Matthew Doctor of Dental Surgery (DDS)
Phone: (660) 385-3623

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 15187 Missouri

Profile Details

NPI number 1760679401
LBN Legal business name Matthew Theriac, D.D.S. Llc
DBA Doing business as
Authorized official Theriac, Matthew Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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