Individual
DR. LESLIE CHARLES SCOFIELD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1312 MANATEE AVE E, BRADENTON, FL 34208-1358
(941) 708-8710
Mailing address
210 3RD ST W, APARTMENT 6209, BRADENTON, FL 34205-8809
(863) 513-0479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 9909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 9909
DENTAL LICENSE
FL
Enumeration date
07/14/2006
Last updated
03/07/2023
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