institution
Thad Rusiecki, Dds, Pllc
Oral and Maxillofacial Surgery (Dentist) in Morgantown, West Virginia
NPI 1992921092

Thad Rusiecki, Dds, Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Morgantown, WV and is specialized in Oral and Maxillofacial Surgery. Thad Rusiecki, Dds, Pllc practices in Morgantown, WV. The NPI Number for Thad Rusiecki, Dds, Pllc is 1992921092 and holds a License No. 3260 (West Virginia).

The current practice location address for Thad Rusiecki, Dds, Pllc 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, 26505
institution
Provider Profile Details
NPI Number
1992921092
Provider Name
Thad Rusiecki, Dds, Pllc
Credential
Provider Entity Type
Organization
Address
2602 Cranberry Square, Morgantown, WV, 26505
Phone Number
304-594-1515
Fax Number
304-594-0785
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000916438 01 WV MOUNTAIN STATE BCBS
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 (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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