Provider Demographics
NPI:1538547344
Name:SCHOFIELD, LYLE MATTHEW (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:LYLE
Middle Name:MATTHEW
Last Name:SCHOFIELD
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:MATTHEW
Other - Middle Name:
Other - Last Name:SCHOFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3636 N MACARTHUR BLVD
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 1:3636 N MACARTHUR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3691
Practice Address - Country:US
Practice Address - Phone:972-258-0758
Practice Address - Fax:214-614-4181
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics