Putnam, Richard

Putnam, Richard is an individual health care provider with primary practice located at 1 Washington Sq , New Britain CT 06051-1848. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Putnam, Richard can be contacted via phone (860) 224-3642.

Contact Information

Primary practice address
1 Washington Sq New Britain CT 06051-1848
Fax: (860) 826-5557
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 008776 Connecticut

Profile Details

NPI number 1154380509
LBN Legal business name Putnam, Richard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154380509 NPPES
Connecticut MEDICAID 004236156

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