IndividualActive
Thaddus Rusiecki, D.D.S. PLLC
NPI 1437184496 · Oral and Maxillofacial Surgery (Dentist) · Morgantown, WV
Provider details
- NPI number
- 1437184496
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S. PLLC
- Sex
- Male
- Sole proprietor
- No
- License
- 3260-108 (WV)
Specialties & taxonomies
Dental Providers
Practice location
2602 Cranberry Square
Morgantown, WV 26505
Phone: (304) 594-1515
Fax: (304) 594-0785
Approximate (ZIP-level) locationGet directions
Mailing address
2602 Cranberry Sq
Morgantown, WV 26508-9201
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2011-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.