Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083266639 Individual Practitioner Male Practitioner

Dr. Jordan E Broaddus , DMD

Dentist • Ft Benning, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Broaddus, DMD is a registered healthcare professional specializing in Dentist in Ft Benning, GA. Practice services are available at 6976 OLD CUSSETA HIGHWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6976 Old Cusseta Highway

Ft Benning, GA 31905

Telephone 7065443176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ft Benning, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Ft Benning, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License KY 10326

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License KY 10326

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Yunsung Hong , DMD

Dentist - General Practice

NPI 1063821601

Doctor of Dental Medicine

Scharon Walls

Dental Assistant

NPI 1083062814
Crystal Owens

Dental Hygienist

NPI 1144990227
Cindy Barefield , RDH

Dental Hygienist

NPI 1386091072

Registered Dental Hygienist

Doctor of Dental Medicine

Mi Arms

Dental Assistant

NPI 1932852910

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 08, 2023

Registered at 6976 OLD CUSSETA HIGHWAY, FT BENNING, GA 31905 (Tel: 7065443176)

📍
Updated Business Mailing Address March 08, 2023

Registered at 6976 OLD CUSSETA HIGHWAY, FT BENNING, GA 31905

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Dentist (License #10326 in KY)

NPI Profile Active July 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2019

Registered at 4323 HILL ST, COLUMBIA, SC 292076022 (Tel: 8037516213)

📍
Updated Business Mailing Address July 14, 2019

Registered at 4323 HILL ST, COLUMBIA, SC 292076022 (Tel: 8037516213)

👤
Provider Name / Credentials Updated July 14, 2019

Recorded as JORDAN BROADDUS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2019

Dentist (License #10326 in KY)

🟢
Initial NPI Registration & Enumeration July 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083266639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2019
Last Update: March 08, 2023
Sole Proprietor: No

Mailing Address

6976 Old Cusseta Highway

Ft Benning, GA 31905

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.