Active NPI
Richard W. Putnam, DDS, LLC
- General Practice Dentistry
- Blairsville, GA
National Provider Identifier
1760551063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7788
- Legal business name
- RICHARD W. PUTNAM, DDS, LLC
- Practice address
- 395 Cleveland St
Blairsville, GA 30512-4563 - Phone
- (706) 745-6848
- Fax
- (706) 835-1324
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Worcester Putnam, D.D.S.
- Title
- Member
- Phone
- (706) 745-6848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7788 | GA | Primary |
Addresses
Primary practice location
395 Cleveland St
Blairsville, GA 30512-4563
Mailing address
395 Cleveland St
Blairsville, GA 30512-4563
Phone (706) 745-6848
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760551063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 CLEVELAND ST",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305124563",
"telephone_number": "706-745-6848",
"fax_number": "706-835-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 CLEVELAND ST",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305124563",
"telephone_number": "706-745-6848",
"fax_number": "706-835-1324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD W. PUTNAM, DDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PUTNAM",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "WORCESTER",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "706-745-6848",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "7788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.