Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN E BROADDUS, DMD
ActiveDR. JORDAN E BROADDUS, DMD is a Dentist healthcare provider located in FT BENNING, Georgia. NPI 1083266639 is currently active in the NPPES registry. Verify at CMS.
Dentist · FT BENNING, GA
Registration Details
- NPI Number
- 1083266639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2019 (7.0883290265227 yrs)
- Last Updated
- Mar 8, 2023
- Licenses
-
10326 (KY)10326 (KY)
Practice Information
- Address
-
6976 OLD CUSSETA HIGHWAYFT BENNING, GA, 31905Browse GA providers · Browse ZIP 31905
- Phone
- 7065443176
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in FT BENNING, GA
| Name | Credential | NPI |
|---|---|---|
| NATHAN BROOKS | DMD | 1972081875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.