DR. Mark Anthony Larusso, D.D.S. is an oral and maxillofacial surgery dentist in Norfolk, VA. The provider is 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. DR. Mark Anthony Larusso, D.D.S. NPI is 1558358960. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1647 TAUSSIG BOULEVARD
NAVAL DENTAL CLINIC NORFOLK
NORFOLK, VA
ZIP 23511-896
Phone: (757) 953-8698
The NPI 1558358960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/30/2005 and was last updated on 9/5/2007.