# RYON G. SCHOFIELD DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588825913
- **Authorized official:** DR. RYON GRANT SCHOFIELD D.D.S. (PRESIDENT)
- **Authorized official phone:** (208) 762-4331

## Contact information

- **Practice address:** 8912 N HESS ST, HAYDEN, ID 83835-9183
- **Practice address phone:** (208) 762-4331
- **Practice address fax:** (208) 762-7488
- **Mailing address:** PO BOX 1688, HAYDEN, ID 83835-1688
- **Mailing address phone:** (208) 762-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3644 | ID | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/18/2008