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THAD RUSIECKI, DDS, PLLC
NPI 1992921092
Dentist - Oral and Maxillofacial Surgery in Morgantown, WV

Active since April 17, 2007
2602 CRANBERRY SQUARE, MORGANTOWN, WV 26505(304) 594-1515(304) 594-0785 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thad Rusiecki, Dds, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAD RUSIECKI, DDS, PLLC (NPI 1992921092) is a healthcare organization registered as an oral and maxillofacial surgery in Morgantown, West Virginia and active in the NPI registry since April 2007. The organization lists Thad Rusiecki, Owner, as its authorized official.

NPPES Registry Identity

NPI1992921092
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHAD RUSIECKI, DDS, PLLC
Location Address2602 CRANBERRY SQUAREMorgantown, WV 26505
Mailing Address2602 Cranberry SquareMorgantown, WV 26505 · (304) 594-1515 · Fax (304) 594-0785
Phone(304) 594-1515
Fax(304) 594-0785
Organization SubpartNo
Authorized OfficialThad RusieckiOwner · (304) 594-1515
Enumeration DateApril 17, 2007
Last NPPES UpdateSeptember 15, 2011
✔ NPI 1992921092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WV · 3260
Definition
An oral and maxillofacial surgery dentist specialized in 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.
2602 CRANBERRY SQUARE, Morgantown, WV 26505
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Other Identifiers 2

Medicare UPINU88904WV
Other000916438WV · Mountain State Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THADDUS RUSIECKI D.D.S. PLLC
Dentist (Oral and Maxillofacial Surgery)
2602 CRANBERRY SQUARE
MORGANTOWN, WV 26505
Monongalia County (304) 594-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thad Rusiecki, Dds, PLLC's NPI number?

The NPI number for Thad Rusiecki, Dds, PLLC is 1992921092. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Thad Rusiecki, Dds, PLLC located?

Thad Rusiecki, Dds, PLLC is located at 2602 Cranberry Square, Morgantown, WV 26505. The listed phone number is (304) 594-1515.

What is Thad Rusiecki, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Thad Rusiecki, Dds, PLLC was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.