Nutt, Jay L
Nutt, Jay L is an individual health care provider with primary practice located at 1231 E Belt Line Rd Suite 103, Richardson TX 75081-3748. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nutt, Jay L can be contacted via phone (972) 690-8617.Contact Information
Primary practice address
1231 E Belt Line Rd Suite 103
Richardson TX 75081-3748
Phone: (972) 690-8617
Fax: (972) 690-6423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10340 | Texas |
Profile Details
| NPI number | 1881724474 |
|---|---|
| LBN Legal business name | Nutt, Jay L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881724474 | NPPES |
| Texas | Other | 10340 | STATE LICENSE |
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