Individual
DR. JASON MICHAEL MARRAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 SPRINGBROOK AVE STE 110, CLAYTON, NC 27520-5311
(919) 585-7646
Mailing address
200 PARK AT NORTH HILLS ST APT 328, RALEIGH, NC 27609-2634
(570) 241-2197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN1001730
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401415594
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN1001730
DC
Other
Enumeration date
04/19/2013
Last updated
10/12/2023
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