Provider Demographics
NPI:1285976878
Name:SCHOFIELD, THOMAS D (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:SCHOFIELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3537
Mailing Address - Country:US
Mailing Address - Phone:978-692-7563
Mailing Address - Fax:978-692-9469
Practice Address - Street 1:200 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3537
Practice Address - Country:US
Practice Address - Phone:978-692-7563
Practice Address - Fax:978-692-9469
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA164011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice