Organization · Type 2 NPI
Thad Rusiecki, Dds, PLLC
Oral and Maxillofacial Surgery (Dentist) · Morgantown, WV
NPI number
1992921092
Active
Practice location
2602 Cranberry Square
Morgantown, WV 26505
Fax (304) 594-0785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3260 (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
About NPI 1992921092
Thad Rusiecki, Dds, PLLC's National Provider Identifier is 1992921092, issued on Apr 17, 2007. 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 15, 2011.