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Thad Rusiecki, DDS, PLLC — NPI 1992921092, Morgantown, WV | NPI Central

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NPI 1992921092

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Thad Rusiecki, DDS, PLLC

NPI 1992921092 · Oral and Maxillofacial Surgery (Dentist) · Morgantown, WV

Provider details

NPI number: 1992921092
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Thad Rusiecki, Owner
License: 3260 (WV)

Practice location

2602 Cranberry Square

Morgantown, WV 26505

Phone: (304) 594-1515

Fax: (304) 594-0785

More WV providers

Mailing address

2602 Cranberry Square

Morgantown, WV 26505

Registry dates

Enumerated: 2007-04-17
Last updated: 2011-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.