Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Neil Broth

Individual provider Dentist · NPI 1063670818

Jason Neil Broth is a Dentist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

5520 Glenwood Rd
Brooklyn, NY 11234-1128
Phone: (718) 763-0505
Fax: (718) 763-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 053205 (NY)

Record details

NPI number1063670818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESMay 29, 2008

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