Whalio Doctors

NPI 1114803483

Scott Distefano DDS PLLC

Organisation General Practice Dentistry Longview, TX

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
Dental Providers Taxonomy 1223G0001X

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.