Pietsch, Carl Fred

Pietsch, Carl Fred 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. Pietsch, Carl Fred can be contacted via phone (972) 690-8617.

Contact Information

Primary practice address
1231 E Belt Line Rd Suite #103 Richardson TX 75081-3748
Fax: (972) 690-6423
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10482 Texas

Profile Details

NPI number 1275663841
LBN Legal business name Pietsch, Carl Fred
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275663841 NPPES
Texas Other 10482 STATE LICENSE

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