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NPI Code Detail

MEDICARE: DR. MATTHEW PAUL SCHOFIELD DMD

MEDICARE: DR. MATTHEW PAUL SCHOFIELD DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6058NV

General Provider Information

NPI Number : 1649584558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW PAUL SCHOFIELD DMD
Provider Business Mailing Address
First Line : 913 MOUNTAIN ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-3819
Country : US
Telephone Number : 775-882-4433
Fax Number : 775-882-4471
Provider Business Practice Location Address
First Line : 913 MOUNTAIN ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-3819
Country : US
Telephone Number : 775-882-4433
Fax Number : 775-882-4471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 08/03/2010

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