DR. Jordan Broadwater, DDS
NPI #1164317020 in Kingsport, Tennessee
Provider Information
- NPI Number
- 1164317020
- Entity Type
- Individual
- Name
- DR. Jordan Broadwater, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 11, 2025
- Last Updated
- Jun 11, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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