Provider Demographics
NPI:1972177871
Name:SCHOENFELD, CHELSEA BARRETT
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:BARRETT
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:BARRETT
Other - Last Name:CARROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5434 PERLOU LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-3947
Mailing Address - Country:US
Mailing Address - Phone:615-785-1743
Mailing Address - Fax:
Practice Address - Street 1:741 PRESIDENT PL STE 120
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6808
Practice Address - Country:US
Practice Address - Phone:615-220-6990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9087124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist