DR. JOHN NORMAN DISTEFANO JR. D.M.D.
NPI 1336239565
Dentist - General Practice in Glastonbury, CT

Q: What is John Distefano's NPI number?

The NPI number for John Distefano is 1336239565. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is John Distefano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Distefano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since October 16, 2006

150 SYCAMORE ST, GLASTONBURY, CT 06033(860) 633-1635(860) 633-1758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. John Norman Distefano Jr. D.m.d. NPPES

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

DR. JOHN NORMAN DISTEFANO JR. D.M.D. (NPI 1336239565) is an individual general practice provider in Glastonbury, Connecticut, licensed in Connecticut (6506) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1336239565

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN NORMAN DISTEFANO JR.Credential: D.M.D.

Location Address150 SYCAMORE STGlastonbury, CT 06033-2295

Mailing Address150 Sycamore StGlastonbury, CT 06033-2295 · (860) 633-1635 · Fax (860) 633-1758

Phone(860) 633-1635

Fax(860) 633-1758

Sole ProprietorYes

Enumeration DateOctober 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336239565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CT · 6506

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.

150 SYCAMORE ST, Glastonbury, CT 06033

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 John Distefano's NPI number?

The NPI number for John Distefano is 1336239565. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Distefano located?

John Distefano practices at 150 Sycamore St, Glastonbury, CT 06033. The listed phone number is (860) 633-1635.

What is John Distefano's specialty?

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

What insurance does John Distefano accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list John Distefano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Distefano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.