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DR. JORDAN E BROADDUS DMD
NPI 1083266639
Dentist in Ft Benning, GA

Active since July 14, 2019
6976 OLD CUSSETA HIGHWAY, FT BENNING, GA 31905(706) 544-3176 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 8, 2023, Jul 14, 2019 (2 updates tracked since 2019).

About Dr. Jordan E Broaddus Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN E BROADDUS DMD (NPI 1083266639) is an individual dentist in Ft Benning, Georgia, licensed in Kentucky (10326) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1083266639
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN E BROADDUSCredential: DMD
Location Address6976 OLD CUSSETA HIGHWAYFt Benning, GA 31905
Mailing Address6976 Old Cusseta HighwayFt Benning, GA 31905
Phone(706) 544-3176
Sole ProprietorNo
Enumeration DateJuly 14, 2019
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1083266639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 10326
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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10326 (KY)
6976 OLD CUSSETA HIGHWAY, Ft Benning, GA 31905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Broaddus's NPI number?

The NPI number for Jordan Broaddus is 1083266639. It was assigned to this individual provider in the NPPES registry on July 14, 2019.

Where is Jordan Broaddus located?

Jordan Broaddus practices at 6976 Old Cusseta Highway, Ft Benning, GA 31905. The listed phone number is (706) 544-3176.

What is Jordan Broaddus's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jordan Broaddus accept?

Health plans from Humana and Renaissance Dental list Jordan Broaddus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Broaddus was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.