Mark Anthony Larusso in Norfolk - Oral And Maxillofacial Surgery
Mark Anthony Larusso - NPI 1558358960
Mark Anthony Larusso is a Oral And Maxillofacial Surgery in Norfolk, Virginia. Mark Anthony Larusso practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark Anthony Larusso is 1558358960. The last update date is 2007-09-05.
Mark Anthony Larusso's current location address is 1647 Taussig Boulevard, Norfolk, Virginia. You can contact this provider via phone number 7579538698. The mailing address for Mark Anthony Larusso is 1647 Taussig Boulevard, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Larusso |
|---|---|
| Address | 1647 Taussig Boulevard, Norfolk, Virginia |
| Phone Number | 7579538698 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1558358960 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 1647 Taussig Boulevard |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235112896 |
| Phone Number | 7579538698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 401411249 |
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Definition: The specialty of dentistry which includes 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. |
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What is the unique 10-digit identification code assigned to Mark Anthony Larusso by the Centers for Medicare & Medicaid Services?
The Mark Anthony Larusso has been issued the NPI (National Provider Identifier) 1558358960, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Anthony Larusso located?
The Mark Anthony Larusso is located at 1647 Taussig Boulevard, Norfolk, VA 235112896.
What is the Mark Anthony Larusso's area of specialization and corresponding taxonomy classification?
The Mark Anthony Larusso's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1558358960 to Mark Anthony Larusso?
The Centers for Medicare & Medicaid Services assigned the 1558358960 to Mark Anthony Larusso on 2005-09-30.
When was the information regarding Mark Anthony Larusso most recently updated?
The details pertaining to the Mark Anthony Larusso, including its address, specialty, and other relevant information, were last refreshed on 2007-09-05.