Organization · Type 2 NPI

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

Oral and Maxillofacial Surgery (Dentist) · Richardson, TX

NPI number 1053441667 Active

Practice location

1231 E Belt Line Rd, Suite 103
Richardson, TX 75081-3748

Fax (972) 690-6423

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X10340 (TX)
Dentist 122300000X10482 (TX)
Periodontics 1223P0300X19473 (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12807 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6 other providers at this address

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About NPI 1053441667

Jay L. Nutt & C. Fred Pietsch, Dds, Inc's National Provider Identifier is 1053441667, issued on Mar 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Richardson, TX. The record was last updated on Sep 11, 2025.