# PUTMAN DENTAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine River Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174925069
- **Authorized official:** DR. BRIAN J PUTMAN DDS (MEMBER)
- **Authorized official phone:** (989) 875-2888

## Contact information

- **Practice address:** 610 N PINE RIVER ST, ITHACA, MI 48847
- **Practice address phone:** (989) 875-2888
- **Mailing address:** 610 N PINE RIVER ST, ITHACA, MI 48847
- **Mailing address phone:** (419) 786-0749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30.023756 | OH | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 02/17/2023