Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN JOSEPH PUTMAN, D.D.S.
Active Sole ProprietorBRIAN JOSEPH PUTMAN, D.D.S. is a Dentist healthcare provider located in ITHACA, Michigan. NPI 1609139302 is currently active in the NPPES registry. Verify at CMS.
Dentist · ITHACA, MI
Registration Details
- NPI Number
- 1609139302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2012 (13.97258174322 yrs)
- Last Updated
- Dec 15, 2015
- Licenses
-
30-023756 (OH)2901021388 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 N. PINE RIVER ST.ITHACA, MI, 48847Browse MI providers · Browse ZIP 48847
- Phone
- 9898752888
- Fax
- 9898754604
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.