Thad Rusiecki, Dds, Pllc
Oral and Maxillofacial Dental Clinic
2602 Cranberry Square, Morgantown
West Virginia, 26505
304-594-1515 304-594-0785
Maps & DirectionsThad Rusiecki, Dds, Pllc is a Oral and Maxillofacial Dental Clinic in Morgantown, West Virginia. It is located at 2602 Cranberry Square, Morgantown, WV and its contact number is 304-594-1515. The authorized person for Thad Rusiecki, Dds, Pllc is Thad Rusiecki
who is Owner of the clinic and their contact number is 304-594-1515. The primary license number for Thad Rusiecki, Dds, Pllc is 3260 (Oral and Maxillofacial Surgery) in West Virginia.
Thad Rusiecki, Dds, Pllc Clinic deals with 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.
Complete Clinic Profile:
Thad Rusiecki, Dds, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Thad Rusiecki, Dds, Pllc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 2602 Cranberry Square, Morgantown, West Virginia, 26505 |
| Phone: | 304-594-1515 |
| Fax: | 304-594-0785 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Thad Rusiecki |
| Position: | Owner |
| Contact Number: | 304-594-1515 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Thad Rusiecki, Dds, Pllc clinic are as mentioned below.
| NPI Number: | 1992921092 |
| NPI Enumeration Date: | 17 Apr, 2007 |
| NPI Last Update On: | 15 Sep, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thad Rusiecki, Dds, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 3260 | West Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000916438 | Other | West Virginia | Mountain State Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Thad Rusiecki, Dds, Pllc 2602 Cranberry Square, Morgantown, West Virginia |
| Zip: | 26505 |
| Phone Number: | 304-594-1515 |
| Fax Number: | 304-594-0785 |
Patients can reach Thad Rusiecki, Dds, Pllc at
2602 Cranberry Square, Morgantown, West Virginia or can
call to book an appointment on 304-594-1515.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.