Individual provider · Type 1 NPI
Jordan Broadwater, DDS
Dentist · Kingsport, TN
Practice location
2701 Bloomingdale Rd
Kingsport, TN 37660-1854
Mailing address
1024 Forrest Ridge Dr
Kingsport, TN 37660-6628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 12846 (TN) |
Dentist: 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 requiremen…
Another provider at this address
Other dentist providers in Kingsport
- Courtney Lahatte Blankenship, DMDDentist Kingsport, TN NPI 1033723499
- Deomick HarrisDentist Kingsport, TN NPI 1154255032
- James Larry Brewer, DDSDentist Kingsport, TN NPI 1154439271
- Kathy Sellers Sanders, DMDDentist Kingsport, TN NPI 1285726356
- Robert F. McAmis Jr., DDSDentist Kingsport, TN NPI 1316005986
- James Alexander Stakias, DDSDentist Kingsport, TN NPI 1407959901
- Jasmine Benavidez, DDSDentist Kingsport, TN NPI 1437859295
- John M. Machen, DDSDentist Kingsport, TN NPI 1467672451
About NPI 1164317020
Jordan Broadwater, DDS's National Provider Identifier is 1164317020, issued on Jun 11, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kingsport, TN. The record was last updated on Jun 11, 2025.