Michael Allen Putt, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19663 Issued in MA

Practice address

131 Main St
Wayland, MA 01778-4900

Phone

(508) 651-0500

Fax

(508) 651-0555

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayland Dental, LLC

  • General Practice Dentistry
  • Wayland, MA
  • NPI 1265756423
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1588670608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST # 1",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784900",
            "telephone_number": "508-651-0500",
            "fax_number": "508-651-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784900",
            "telephone_number": "508-651-0500",
            "fax_number": "508-651-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTT",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen M Penso, M.D.
• Phoua Curley
• Patricia C. Platika, CRNA
• Play2Learn LLC
• Monika Pszczola, LPC
• Farzana Rahman, R.PH.
• Adiamis Ramos-Delgado
• Diane Ray, PH.D.
• Renew Behavioral Health and Wellness
• Saharnaz Rezania

• General Practice Dentistry in Wayland, MA
• Providers in Wayland, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.