SearchTexas1223G0001X

Scott Distefano, DDS

NPI 1861593014 · on the registry since 2006 · sole proprietor

Practice

Address
3535 N 4th St
Ste 303
Longview, TX 75605
Phone
(903) 759-4607
Fax
(903) 759-3626

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas