Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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

Organization Dentist · NPI 1053441667

Jay L. Nutt & C. Fred Pietsch, DDS, Inc is a Dentist in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1231 E Belt Line Rd Ste 103
Richardson, TX 75081-3748
Phone: (972) 690-8617
Fax: (972) 690-6423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12807 (TX)
Dentist Taxonomy 122300000X · Licence 10340 (TX)
Dentist Taxonomy 122300000X · Licence 10482 (TX)
Periodontics Taxonomy 1223P0300X · Licence 19473 (TX)

Record details

NPI number1053441667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Pietsch — President · (972) 690-8617
NPI enumeratedMarch 6, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1231 E Belt Line Rd, Suite 103, Richardson, TX 75081-3748

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