Timothy Joseph Rusiecki, DDS

General Practice Dentistry · Chicopee, MA

Individual Active NPI

NPI number 1508959016

Practice location

1176 Memorial Drive
Chicopee, MA 01020-3960
Phone
(413) 593-5772
Fax
(413) 593-5199

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NPI record

NPI
1508959016
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17871 MA

About Dr. Rusiecki

Timothy Joseph Rusiecki, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1176 Memorial Drive, Chicopee, MA 01020-3960. The NPI number 1508959016 was assigned on October 2, 2006 and the record was last updated on July 8, 2007.

Dr. Rusiecki lists a license in the registry: #17871 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Joseph Rusiecki, DDS?

The NPI number is 1508959016.

What is the phone number of Dr. Rusiecki?

The phone number listed for the practice location is (413) 593-5772.

Where is Dr. Rusiecki located?

1176 Memorial Drive, Chicopee, MA 01020-3960.

What is the taxonomy code for Dr. Rusiecki?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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