NPI 1114803483
Scott Distefano DDS PLLC
Practice location
- Address
- 3535 N Fourth St STE 303, Longview, TX 75605-0038
- Phone
- (903) 759-4607
Authorised official
- Name
- Jenny Garcia-Rocha
- Title
- Sr Credentialing Team Lead
- Phone
- (972) 869-3789
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1114803483
- Entity type
- Organization
- NPI issued
- 13 Aug 2025
- Record last updated
- 13 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.