IndividualActive
Blake Putman, DDS
NPI 1760166599 · Dentist · Omaha, NE
Provider details
- NPI number
- 1760166599
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DDS-10153 (IA)
Mailing address
832 Coventry PT
Springfield, IL 62702-3389
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.