Jason Neil Broth is a Dentist in Brooklyn, New York. Jason Neil Broth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jason Neil Broth is 1063670818. The last update date is 2008-05-29.
Jason Neil Broth's current location address is 5520 Glenwood Rd, Brooklyn, New York. You can contact this provider via phone number 7187630505 and fax number 7187631776. The mailing address for Jason Neil Broth is 5520 Glenwood Rd, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Neil Broth |
|---|---|
| Address | 5520 Glenwood Rd, Brooklyn, New York |
| Phone Number | 7187630505 |
| Fax Number | 7187631776 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063670818 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 5520 Glenwood Rd |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112341128 |
| Phone Number | 7187630505 |
| Fax Number | 7187631776 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 53205 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Jason Neil Broth by the Centers for Medicare & Medicaid Services?
The Jason Neil Broth has been issued the NPI (National Provider Identifier) 1063670818 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jason Neil Broth's facilities are situated?
The facilities of Jason Neil Broth are physically located at the following address: 5520 Glenwood Rd, Brooklyn, NY, 112341128.
What is Jason Neil Broth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Neil Broth is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Jason Neil Broth receive its 1063670818 assignment from the Centers for Medicare & Medicaid Services?
The Jason Neil Broth was assigned its 1063670818 on 2008-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jason Neil Broth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Neil Broth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-29.
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