DR. Scott Edward Distefano, DDS

NPI #1861593014 in Longview, Texas

Provider Information

NPI Number
1861593014
Entity Type
Individual
Name
DR. Scott Edward Distefano, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 26, 2006
Last Updated
Oct 15, 2025

Practice Location

Address
3535 N 4TH ST
Address 2
STE 303
State
Texas
ZIP Code
75605
Phone
(903) 759-4607

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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