Putman Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PUTMAN DENTAL INC

Practice address

927 S Durkin Dr Ste a
Springfield, IL 62704-6017

Phone

(217) 793-0070

NPI assigned

Jan 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. William Putman, DDSNPI 1225542913

Title

Owner/General Dentist

Phone

(217) 652-0378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Putman, D.D.S.

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1225542913
  Medicare reassignment NPD Authorized official
• Robert Scott Burris, D.M.D.

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1730235854
  NPD (past)

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1760134563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 COVENTRY PT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023389",
            "telephone_number": "217-652-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S DURKIN DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046017",
            "telephone_number": "217-793-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTMAN DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "217-652-0378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Puczynski, M.D.
• Sonia Pulido, MD
• Jamie M Purdy, CCC-A
• Hannah Purseglove, M.D.
• David W Purves, PA
• Blake Christopher Putman, DDS
• William Putman, D.D.S.
• William D. Putman, M.D.
• Darryl Putzer, M.D.
• Kripakaran M Puvalai, MD

• Dental Clinic/Center in Springfield, IL
• Providers in Springfield, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.