Individual
DR. ADAM C. MATTHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3109 FREDERICK AVE, SUITE A, ST JOSEPH, MO 64506-2959
(816) 364-4774
(816) 364-4373
Mailing address
3109 FREDERICK AVE, SUITE A, ST JOSEPH, MO 64506-2959
(816) 364-4774
(816) 364-4373
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2016007792
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40031764
—
MO
Enumeration date
04/02/2012
Last updated
12/10/2025
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