Healthcare Provider Details

I. General information

NPI: 1528900610
Provider Name (Legal Business Name): JAROD MARASCO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 WILMINGTON RD
NEW CASTLE PA
16105-1263
US

IV. Provider business mailing address

119 CHOCTAWHATCHEE WAY APT 110
SANTA RSA BCH FL
32459-6889
US

V. Phone/Fax

Practice location:
  • Phone: 724-656-3486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045860
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045860
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDS045860
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: