| Jay L. Nutt & C. Fred Pietsch, Dds, Inc | |
|
1231 E Belt Line Rd Suite 103 Richardson TX 75081-3748 | |
| (972) 690-8617 | |
| (972) 690-6423 |
| Full Name | Jay L. Nutt & C. Fred Pietsch, Dds, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1231 E Belt Line Rd, Richardson, Texas |
| Authorized Official Name and Position | C Fred Pietsch (PRESIDENT) |
| Authorized Official Contact | 9726908617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay L. Nutt & C. Fred Pietsch, Dds, Inc 1231 E Belt Line Rd Suite 103 Richardson TX 75081-3748 Ph: (972) 690-8617 | Jay L. Nutt & C. Fred Pietsch, Dds, Inc 1231 E Belt Line Rd Suite 103 Richardson TX 75081-3748 Ph: (972) 690-8617 |
| NPI Number | 1053441667 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053441667 | NPI | - | NPPES |
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