Organization Active NPI

Richard W. Putnam, DDS, LLC

  • General Practice Dentistry
  • Blairsville, GA
National Provider Identifier
1760551063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7788 Issued in GA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.