Jordan Broadwater, DDS
NPI 1164317020 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2701 Bloomingdale Rd
Kingsport, TN 37660 - Phone
- (423) 288-8566
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee