JENNA PUTMAN (NPI# 1841541844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841541844 |
| Entity Type | Individual |
| Full Name | JENNA PUTMAN |
| Practice Address |
610 N Pine River St Ithaca MI 48847 |
| Practice Telephone | 9898752888 |
| Mailing Telephone | 9898752888 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901021389 | MI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30.023844 | OH | Dental Providers |
| Street Address |
610 N PINE RIVER ST |
| City | ITHACA |
| State | MI |
| Zip Code | 48847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881744100 | Martha A Bamfield | Dentist | 610 N Pine River St, Ithaca, MI 48847-1167 | 2007-01-11 |
| 1174925069 | Putman Dental Pllc | Dentist | 610 N Pine River St, Ithaca, MI 48847-1167 | 2014-09-23 |
| 1295986479 | Pine River Dental Care | Dentist | 610 N Pine River St, Ithaca, MI 48847-1167 | 2008-10-06 |
| 1457401770 | Dale A Nester | Dentist | 610 N Pine River St, Ithaca, MI 48847-1167 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055380 | Palmer's Place Inc | Custodial Care Facility | 1009 S. St. Johns Rd, Ithaca, MI 48847 | 2020-02-17 |
| 1851656326 | Kalpesh P Lad | Pharmacist | 1010 East Center St, Ithaca, MI 48847 | 2012-07-10 |
| 1609139302 | Brian Joseph Putman | Dentist | 610 N. Pine River St., Ithaca, MI 48847 | 2012-06-19 |
| 1265544423 | John N Allen | Optometrist | 531 E Center, Ithaca, MI 48847 | 2006-08-31 |
| 1386688604 | Darren M Riopelle Dds | Dentist | 108 South Main Street, Ithaca, MI 48847 | 2006-06-16 |
| 1518933100 | Hal A Williams | Family Medicine | 114 North Main St, Ithaca, MI 48847 | 2006-02-24 |
| 1083903991 | Beth M Johnson | Pharmacist | 1010 East Center Street, Ithaca, MI 48847 | 2011-03-31 |
| 1972578862 | Russell J Anderson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| 1003881053 | Hallie J Wilson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| 1801861851 | David J Freestone | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| Find all providers in zip 48847 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526641 | Max Izak Dubin | Dentist | 26 Barr Rd, Ithaca, NY 14850 | 2017-05-24 |
| 1750827689 | Tamilla Meisenberg | Dentist | 600 Warren Rd, Apt 6-3c, Ithaca, NY 14850-1854 | 2017-01-17 |
| 1811351356 | Shonteral Redmond | Dentist | 324 Elmira Rd, Ithaca, NY 14850 | 2016-04-11 |
| 1497150668 | Sung Min Kim | Dentist | 840 Hanshaw Rd Ste 14, Ithaca, NY 14850-1589 | 2014-10-29 |
| 1508131228 | Fanrui Zeng | Dentist | 509 Lake St Apt D4, Ithaca, NY 14850-2163 | 2012-03-13 |
| 1215200779 | Collegetown Family Dental | Dentist | 324 Dryden Rd., Ithaca, NY 14850 | 2012-02-14 |
| 1427170737 | Martha Dunham Catalfamo | Dentist | 212 W Buffalo St, Ithaca, NY 14850-4122 | 2007-04-06 |
| 1316079791 | Janice Hall Ormsby | Dentist | 1308 E Shore Dr, Ithaca, NY 14850-1073 | 2007-03-12 |
| 1548304983 | Kristna Kapur, Dds & Luis T Mauleon Jr, Dds, PC | Dentist | 501 N Cayuga St, Ithaca, NY 14850-3670 | 2007-02-19 |
| 1891831475 | Gary Allen Schluckebier | Dentist | 921 N Pine River St, Ithaca, MI 48847-1119 | 2007-01-30 |
| Find all providers in ITHACA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.