Individual provider · Type 1 NPI
Thaddus Rusiecki, D.D.S. PLLC
Oral and Maxillofacial Surgery (Dentist) · Morgantown, WV
Practice location
2602 Cranberry Square
Morgantown, WV 26505
Fax (304) 594-0785
Mailing address
2602 Cranberry Sq
Morgantown, WV 26508-9201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3260-108 (WV) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Morgantown
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- Lester H. Bakos, DDSOral and Maxillofacial Surgery (Dentist) Morgantown, WV NPI 1740362243
- John Montgomery Carson, DDSOral and Maxillofacial Surgery (Dentist) Morgantown, WV NPI 1811032071
About NPI 1437184496
Thaddus Rusiecki, D.D.S. PLLC's National Provider Identifier is 1437184496, issued on Jul 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Morgantown, WV. The record was last updated on Sep 6, 2011.