Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffery Brougham Larsen, DMD

Individual provider General Practice Dentistry · NPI 1558294611

Jeffery Brougham Larsen, DMD is a General Practice Dentistry in Norfolk, Virginia. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803
Phone: (757) 953-8635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 — (757) 953-5000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DENT.DE.70118772 (WA)

Record details

NPI number1558294611
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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