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

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
Mailing address5520 Glenwood Rd, Brooklyn, NY 11234-1128

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