Active NPIIndividual providerSole proprietor

Dr. Mark Dirusso, DMD

Dentist in Oklahoma City, Oklahoma

NPI Number1922890235
Practice location
1201 N Stonewall Ave, Oklahoma City, OK 73117-1214
Fax
—
Last updated
July 28, 2025

Mark Dirusso is a Dentist based in Oklahoma City, OK. Mark Dirusso practices in Oklahoma City, OK and has the professional credentials of DMD. The NPI Number for Mark Dirusso is 1922890235 and holds a License No. 8111 (OK). The current practice location address for Mark Dirusso is 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 and can be reached out via phone at 405-271-7744.

Provider Profile Details

NPI Number
1922890235
Provider Name
Mark Dirusso
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1201 N Stonewall Ave, Oklahoma City, OK 73117-1214
Phone Number
405-271-7744
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2025
Last Update Date
July 28, 2025
Certification Date
July 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Zip
73117-1214
Phone Number
405-271-7744
Oklahoma City, OK 73117Get directions →

Provider Business Mailing Address Details

Address
25 Buxton Ln
Riverside, CT 06878-1601
City
Riverside
State
CT
Zip
06878-1601
Phone Number
914-552-8591

License Information

License Number
8111
License State
OK
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark Dirusso, DMD?

The NPI number of Dr. Mark Dirusso, DMD is 1922890235. It was assigned on May 21, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Dirusso, DMD?

Dr. Mark Dirusso, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in OK under license number 8111.

Where does Dr. Mark Dirusso, DMD practice?

The practice location is 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214. The office can be reached at 405-271-7744 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922890235 directly on the NPPES registry website.

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