Oral & Maxillofacial Surgeon Profile - Virginia Board of Dentistry
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Unless otherwised indicated, this information has been self-reported
and has not been verified by the Board of Dentistry.
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Mark Anthony LaRusso
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REGISTRATION #0438000231
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Issue Date: 5/18/2007
Expiration Date: 12/31/2025
Status: Current Active
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Primary Practice Address
Last Updated 7/20/2017
Jett, Sellers, and LaRusso Oral & Maxillofacial Surgery
3116 Tyre Neck Road
Portsmouth, VA 23703
Phone: 757-483-2110
Location Details
- Practitioner spends 60% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Tue,Wed
Additional Practice Address
Last Updated 7/20/2017
Jett, Sellers, and LaRusso Oral & Maxillofacial Surgery
2441 Pruden Boulevard
Suffolk, VA 23434
Phone: 757-934-0767
Location Details
- Practitioner spends 40% of time at this location.
- Days that practitioner sees patients at this location:
Thur,Fri
Years in Active Clinical Practice
Last Updated 7/20/2017
Years in Active Clinical Practice Inside US/Canada:
23
Medicaid
Last Updated 7/20/2017
Participate in the Virginia Medicaid program
Is accepting new Medicaid patients
Virginia Hospital Affiliations
Last Updated 7/20/2017
Obici Hospital - Full Staff
Hospital Affiliations in States Other Than Virginia
Last Updated 7/20/2017
Dental or Medical School
Last Updated 7/20/2017
Grad School: University of Illinois at Chicago College of Dentistry - Chicago, Illinois
Year Completed: 1994
Dental or Medical Post Graduate School
Last Updated 7/20/2017
General Practice Residency, Dentistry
Naval Hospital, Great Lakes
Great Lakes,
IL
USA
Year Residency
Completed: 1995
Oral and Maxillofacial Surgery
Naval Hospital, Portsmouth
Portsmouth,
VA
USA
Year Residency
Completed: 2005
Board Certification - Recognized by the Commission on Dental Accreditation, American Dental Association
Last Updated 7/20/2017
American Board of Oral and Maxillofacial Surgery
Year of Initial Certifications:
2007Current Certification Expires:
2017
American Board of Oral and Maxillofacial Surgery
Year of Initial Certifications:
2007Current Certification Expires:
2027
Board Eligibility - Recognized by the Commission on Dental Accreditation, American Dental Association
Last Updated 7/20/2017
American Board of Oral and Maxillofacial Surgery
Certification for Cosmetic Procedures
Board Certified
No Certifications on record.
Honors and Awards - Optional
Last Updated 7/20/2017
Practitioners had the option of completing this section. This practitioner has not provided any information regarding honors and awards.
Academic Appointments in the most recent 10 years )
Last Updated 7/20/2017
None Reported
Academic Appointments - Non-US ( in the most recent 10 years )
Last Updated 7/20/2017
None Reported
Publications in Peer-reviewed literature ( up to 10 in the most recent 5 years )
Last Updated 7/20/2017
None Reported
Actions Taken by States/Organizations Other than the Virginia Board of Dentistry.
Last Updated 7/20/2017
None Reported
Actions Taken by Virginia Board of Dentistry - Verified by Board
No discipline on record at the Board of Dentistry
Paid Claims in the most recent 10 years
Last Updated 7/20/2017
The licensee has reported the following paid claims in the past ten years:
None Reported
Disclaimer:
On this site you will find information about the dental practices of oral and maxillofacial
surgeons registered in Virginia. The information on this site comes from
two sources.
1) The following entries are taken from the database on licensees maintained
by the DEPARTMENT OF HEALTH PROFESSIONS
- Name
- License number
- Date of issue
- Date of expiration
- Status
- Certification for cosmetic procedures
- Board of Dentistry Notices and Orders
2) The following entries are provided by the ORAL AND MAXILLOFACIAL SURGEON
A. Required information
- Practice information (location, telephone number, translating services,
percentage of time spent at location(s)
- Education
- Years in active clinical practice
- Board Certifications
- Hospital affiliations
- Academic appointments
- Publications
- Medicaid participation
- Actions
- Felony convictions
- Paid claims in the most recent ten years
B. Optional information
- Non-emergency email address
- Insurance plans accepted or managed care plans in which he participates
- Hours of continuing education
- Subspecialties obtained
- Honors and awards received
- Maiden name
- Web site address
- Practice name in the practice location
- Days of the week as practice location
- Medicare information
An oral and maxillofacial surgeon is required to keep his profile current
by recording any changes to the information within 30 days of the occurrence
of the change. It is important to note that the Virginia Board of Dentistry
does not verify the accuracy and timeliness of the information provided
by the oral and maxillofacial surgeon but it will investigate any complaints
about the accuracy of the profile information on current licensees. A licensee
is only obligated to maintain his profile while he has a current active
license.
11/18/2025