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NPI 1407112600

IndividualActive

Adam Matthias, D.D.S.

NPI 1407112600 · Oral and Maxillofacial Surgery (Dentist) · St Joseph, MO

Provider details

NPI number: 1407112600
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: Yes
License: 2016007792 (MO)

Practice location

3109 Frederick Ave

Suite a

St Joseph, MO 64506-2959

Phone: (816) 364-4774

Fax: (816) 364-4373

More MO providers

Mailing address

3109 Frederick Ave

St Joseph, MO 64506-2959

Registry dates

Enumerated: 2012-04-02
Last updated: 2025-12-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adam Matthias, D.D.S. — NPI 1407112600, St Joseph, MO | NPI Central