# JAY L. NUTT & C. FRED PIETSCH, DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053441667
- **Authorized official:** C FRED PIETSCH DDS (PRESIDENT)
- **Authorized official phone:** (972) 690-8617

## Contact information

- **Practice address:** 1231 E BELT LINE RD, SUITE 103, RICHARDSON, TX 75081-3748
- **Practice address phone:** (972) 690-8617
- **Practice address fax:** (972) 690-6423
- **Mailing address:** 1231 E BELT LINE RD, SUITE 103, RICHARDSON, TX 75081-3748
- **Mailing address phone:** (972) 690-8617
- **Mailing address fax:** (972) 690-6423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10340 | TX | — |
| 122300000X | Dentist | 10482 | TX | — |
| 1223P0300X | Periodontics | 19473 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12807 | TX | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 09/11/2025