JONATHAN LANE PUTNAM DDS NPI 1861433096

NPI Information

  • NPI: 1861433096
  • Provider Name: JONATHAN LANE PUTNAM, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 150 FAIRVIEW RD
    SUITE 135
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 799-3247

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NPI Details

Jonathan Lane Putnam, DDS is a general practice dentist in Mooresville, NC. The provider is 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. Jonathan Lane Putnam, DDS NPI is 1861433096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 FAIRVIEW RD
SUITE 135
MOORESVILLE, NC
ZIP 28117-500
Phone: (704) 799-3247
Fax: (866) 623-7002

The enumeration date for this NPI number is 6/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6713NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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