Organization
GRAPEVINE KIDS PLLC
Active
Other names
Grapevine Kids Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE MATTHEW SCHOFIELD DDS (MANAGING MEMBER)
(469) 900-5371
Entity
Organization
Contact information
Practice address
1230 S MAIN ST, GRAPEVINE, TX 76051-5544
(972) 258-0758
Mailing address
1230 S MAIN ST, GRAPEVINE, TX 76051-5544
(817) 909-2920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/05/2019
Last updated
03/06/2024
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