Thad Rusiecki, Dds, Pllc

LBN: Thad Rusiecki, Dds, Pllc
Thad Rusiecki, Dds, Pllc is an health care organization with primary practice located at 2602 Cranberry Square , Morgantown WV 26505. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Thad Rusiecki, Dds, Pllc can be contacted via phone (304) 594-1515, or through Rusiecki, Thad via phone (304) 594-1515.

Contact Information

Primary practice address
2602 Cranberry Square Morgantown WV 26505
Phone: (304) 594-1515
Fax: (304) 594-0785
Website:
Map and Directions
Authorized official contact:
Name: Rusiecki, Thad Doctor of Dental Surgery (DDS)
Phone: (304) 594-1515

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3260 West Virginia

Profile Details

NPI number 1992921092
LBN Legal business name Thad Rusiecki, Dds, Pllc
DBA Doing business as
Authorized official Rusiecki, Thad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Sep 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992921092 NPPES
West Virginia Other 000916438 MOUNTAIN STATE BCBS

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