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

Dr. Jordan E Broaddus, DMD

Individual provider Dentist · NPI 1083266639

Dr. Jordan E Broaddus, DMD is a Dentist in Ft. Benning, Georgia. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

6976 Old Cusseta Hwy
Ft. Benning, GA 31905
Phone: (706) 544-3176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10326 (KY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10326 (KY)

Record details

NPI number1083266639
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 14, 2019
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address6976 Old Cusseta Highway, Ft Benning, GA 31905

Other providers in Ft. Benning