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Contact Information

PUTMAN DENTAL PLLC
610 N PINE RIVER ST
ITHACA, MI48847
 Phone: 989-875-2888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PUTMAN DENTAL PLLC

NPI # 1174925069
LBN Legal business name PUTMAN DENTAL PLLC
Authorized official BRIAN PUTMAN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2014
Last updated 02/17/2023 - About 3 years ago
Identifiers
OH License # 30.023756
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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