Provider Demographics
NPI:1508305905
Name:SCHOFIELD ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:SCHOFIELD ORTHODONTICS PLLC
Other - Org Name:LEWISVILLE BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CERTIFIED ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:LYLE
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:SCHOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:972-258-0758
Mailing Address - Street 1:3636 N MACARTHUR BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3691
Mailing Address - Country:US
Mailing Address - Phone:972-258-0758
Mailing Address - Fax:214-614-4181
Practice Address - Street 1:755 HWY 121 BYP
Practice Address - Street 2:A200
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067
Practice Address - Country:US
Practice Address - Phone:972-689-0559
Practice Address - Fax:214-614-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308741223X0400X
261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty