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Dr. Thaddus Rusiecki, DDSPLLC
Oral and Maxillofacial Surgery (Dentist) in Morgantown, West Virginia
NPI 1437184496

Thaddus Rusiecki is a Oral and Maxillofacial Surgery (Dentist) based in Morgantown, WV and is specialized in Oral and Maxillofacial Surgery. Thaddus Rusiecki practices in Morgantown, WV and has the professional credentials of DDSPLLC. The NPI Number for Thaddus Rusiecki is 1437184496 and holds a License No. 3260-108 (West Virginia).

The current practice location address for Thaddus Rusiecki is 2602 Cranberry Square, Morgantown, WV and can be reached out via phone at 304-594-1515 and via fax at 304-594-0785.

Location: 2602 Cranberry Square, Morgantown, WV, 26508-9201
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Provider Profile Details
NPI Number
1437184496
Provider Name
Thaddus Rusiecki
Credential
DDSPLLC
Provider Entity Type
Individual
Gender
Male
Address
2602 Cranberry Square, Morgantown, WV, 26508-9201
Phone Number
304-594-1515
Fax Number
304-594-0785
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WV00411 01 WV HELATH PLAN PROVIDER NUMB
000916438 01 WV BLUE SHIELD PROVIDER NUMB
institution
Provider Business Practice Location Address Details
Address
2602 Cranberry Square
City
State
Zip
26505
Phone Number
304-594-1515
Fax Number
304-594-0785
person
Provider Business Mailing Address Details
Address
2602 Cranberry Square
City
State
Zip
26505
Phone Number
304-594-1515
Fax Number
304-594-0785
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
3260-108 (West Virginia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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