Jay L. Nutt & C. Fred Pietsch, Dds, INC

NPI #1053441667 in Richardson, Texas

Provider Information

NPI Number: 1053441667
Entity Type: Organization
Organization Name: Jay L. Nutt & C. Fred Pietsch, Dds, INC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Mar 6, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 1231 E BELT LINE RD
Address 2: SUITE 103
City: Richardson
State: Texas
ZIP Code: 75081-3748
Phone: (972) 690-8617

Authorized Official

Name: C FRED PIETSCH, DDS
Title: PRESIDENT
Phone: (972) 690-8617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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