Dr Jordan E Broaddus, DMD in Ft Benning, GA

Dr Jordan E Broaddus, DMD is a Dentist based in Ft Benning, Georgia. Dr Jordan E Broaddus is licensed to practice in Kentucky (license number 10326) and his current practice location is 6976 Old Cusseta Highway, Ft Benning, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 544-3176.

NPI number for Dr Jordan E Broaddus is 1083266639 and his current mailing address is 6976 Old Cusseta Highway, Ft Benning, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083266639.

Contact Information

	Dr Jordan E Broaddus, DMD
	6976 Old Cusseta Highway, Ft Benning, GA 31905
	(706) 544-3176
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan E Broaddus
Gender	Male
Speciality	Dentist
Location	6976 Old Cusseta Highway, Ft Benning, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083266639
Provider Enumeration Date: 07/14/2019
Last Update Date: 03/08/2023

Medical Identifiers

Medical identifiers for Dr Jordan E Broaddus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083266639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	10326 (Kentucky)	Primary
1223G0001X	Dentist - General Practice	10326 (Kentucky)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan E Broaddus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jordan E Broaddus, DMD 6976 Old Cusseta Highway, Ft Benning, GA 31905 Ph: () -	Dr Jordan E Broaddus, DMD 6976 Old Cusseta Highway, Ft Benning, GA 31905 Ph: (706) 544-3176

Reviews and Comments

Dentist in Ft Benning, GA

Dr. Samuel Pyo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7101 Hoff Street, Usa Dentac, Ft Benning, GA 31905 Phone: 706-544-4530 Fax: 706-544-1933
Dr. Kimberly Ann Saya Inouye, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7101 Hoff Street, Usa Dentac, Ft Benning, GA 31905 Phone: 706-544-4530 Fax: 706-544-1933
Nathan Brooks, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7061 Lincoln Ave Bldg 972, Ft Benning, GA 31901 Phone: 706-545-2901

Dr Jordan E Broaddus, DMD - Dentist in Ft Benning, GA