DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. LESLIE CHARLES SCOFIELD III DDS

MEDICARE: DR. LESLIE CHARLES SCOFIELD III DDS
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
1122300000XDentistDN 9909FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DN 9909OTHERFLDENTAL LICENSE

General Provider Information

NPI Number : 1235155045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE CHARLES SCOFIELD III DDS
Provider Business Mailing Address
First Line : 210 3RD ST W
Second Line : APARTMENT 6209
City : BRADENTON
State : FL
Zip : 34205-8809
Country : US
Telephone Number : 863-513-0479
Fax Number :
Provider Business Practice Location Address
First Line : 1312 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1358
Country : US
Telephone Number : 941-708-8710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 03/07/2023

Similar Medicare Providers

1932101169 — DR. DALIBOR IRWING HRADEK M.D.
Practice Location Address:
1312 MANATEE AVE E
BRADENTON, FL
34208-1358
Practice Phone: 941-708-7669
Practice Fax: 941-708-8893
1952307084 — DR. EDWARD JOHN WASLOSKI O.D.
Practice Location Address:
1312 MANATEE AVE E
BRADENTON, FL
34208-1358
Practice Phone: 941-750-8797
Practice Fax: 941-799-2804
1730156936 — ABDULLAH TAMIN HAIDER M.D.
Practice Location Address:
1312 MANATEE AVE E
BRADENTON, FL
34208-1358
Practice Phone: 941-708-8700
Practice Fax: 941-708-8706
1275578619 — DR. KASTHURI E JAYARAJ M.D.
Practice Location Address:
1312 MANATEE AVE E
BRADENTON, FL
34208-1358
Practice Phone: 941-708-8700
Practice Fax: 941-708-8738
1649216789 — KRISTEN M LEE PA
Practice Location Address:
1312 MANATEE AVE E
BRADENTON, FL
34208-1358
Practice Phone: 941-708-8700
Practice Fax:
1689600330 — MCR HEALTH, INC.
Practice Location Address:
1312 MANATEE AVE E
BRADENTON, FL
34208-1358
Practice Phone: 941-708-8700
Practice Fax: 941-708-8893

Directions to “ DR. LESLIE CHARLES SCOFIELD III DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.