Provider Demographics
NPI:1427151927
Name:SCHOENFELD, JENNIFER L (DMD)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:SCHOENFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:113 NE 19TH DRIVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972
Mailing Address - Country:US
Mailing Address - Phone:863-467-2332
Mailing Address - Fax:863-467-2347
Practice Address - Street 1:113 NE 19TH DRIVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972
Practice Address - Country:US
Practice Address - Phone:863-467-2332
Practice Address - Fax:863-467-2347
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist