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SCOTT DISTEFANO DDS PLLC
NPI 1114803483
Dentist - General Practice in Longview, TX

Active since August 13, 2025
3535 N FOURTH ST STE 303, LONGVIEW, TX 75605(903) 759-4607 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Distefano Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT DISTEFANO DDS PLLC (NPI 1114803483), doing business as Distefano Dental Studio, is a healthcare organization registered as a general practice in Longview, Texas and active in the NPI registry since August 2025. The organization lists Jenny Garcia-rocha, Sr Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1114803483
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSCOTT DISTEFANO DDS PLLC
Location Address3535 N FOURTH ST STE 303Longview, TX 75605-0038
Mailing Address3535 N Fourth St Ste 303Longview, TX 75605-0038 · (903) 759-4607
Phone(903) 759-4607
Organization SubpartNo
Authorized OfficialJenny Garcia-rochaSr Credentialing Team Lead · (972) 869-3789
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1114803483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3535 N FOURTH ST STE 303, Longview, TX 75605
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Other Names 1

Doing Business AsDistefano Dental Studio

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Distefano Dds PLLC's NPI number?

The NPI number for Scott Distefano Dds PLLC is 1114803483. It was assigned to this organization in the NPPES registry on August 13, 2025. The provider is doing business as DiStefano Dental Studio.

Where is Scott Distefano Dds PLLC located?

Scott Distefano Dds PLLC is located at 3535 N Fourth St Ste 303, Longview, TX 75605. The listed phone number is (903) 759-4607.

What is Scott Distefano Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Scott Distefano Dds PLLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.