MEDICARE: DR. LARRY IVAN VASS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6631	MD

General Provider Information

NPI Number	:	1881605053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY IVAN VASS DDS

Provider Business Mailing Address
First Line	:	12070 OLD LINE CENTRE
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20602-2503
Country	:	US
Telephone Number	:	301-645-8530
Fax Number	:	301-843-8570

Provider Business Practice Location Address
First Line	:	12070 OLD LINE CENTRE
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20602-2503
Country	:	US
Telephone Number	:	301-645-8530
Fax Number	:	301-843-8570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013481662 — KIARA SMITH PT, DPT, ATC
Practice Location Address:

12070 OLD LINE CTR STE 107
WALDORF, MD
20602-2503

Practice Phone: 301-374-6885
Practice Fax:

1942206412 — DOUGLAS AVERY & ASSOCIATES LTD
Practice Location Address:

12070 OLD LINE CTR , STE 107
WALDORF, MD
20602-2503

Practice Phone: 301-374-6885
Practice Fax: 301-374-6893

1174521173 — JOSEPH RAYMOND MURPHY M.D.
Practice Location Address:

12070 OLD LINE CTR , STE 200
WALDORF, MD
20602-2503

Practice Phone: 301-645-8035
Practice Fax: 301-645-5229

1689673741 — LORNETTE B MILLS MD
Practice Location Address:

12070 OLD LINE CTR , STE 200
WALDORF, MD
20602-2503

Practice Phone: 301-645-8035
Practice Fax: 301-645-5229

1497754550 — KHADAR BAIG MD
Practice Location Address:

12070 OLD LINE CTR , STE 200
WALDORF, MD
20602-2503

Practice Phone: 301-645-8035
Practice Fax: 301-645-5229

1114926284 — SEETARAMAYYA NAGULA M.D.
Practice Location Address:

12070 OLD LINE CTR , SUITE 200
WALDORF, MD
20602-2503

Practice Phone: 301-645-8035
Practice Fax: 301-645-5229

Directions to “ DR. LARRY IVAN VASS DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.