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Dr. Scott Edward Distefano, DDS
General Practice Dentistry in Longview, Texas
NPI 1861593014

Scott Edward Distefano is a General Practice Dentistry based in Longview, TX and is specialized in General Practice. Scott Edward Distefano practices in Longview, TX and has the professional credentials of DDS. The NPI Number for Scott Edward Distefano is 1861593014 and holds a License No. 20261 (Texas).

The current practice location address for Scott Edward Distefano is 1201 Pine Tree Rd, Longview, TX and can be reached out via phone at 903-759-4607 and via fax at 903-759-3626.

Location: 1201 Pine Tree Rd, Longview, TX, 75604-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861593014
Provider Name
Scott Edward Distefano
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1201 Pine Tree Rd, Longview, TX, 75604-3154
Phone Number
903-759-4607
Fax Number
903-759-3626
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1201 Pine Tree Rd
City
Longview
State
Texas
Zip
75604-3154
Phone Number
903-759-4607
Fax Number
903-759-3626
person
Provider Business Mailing Address Details
Address
1201 Pine Tree Rd
City
Longview
State
Texas
Zip
75604-3154
Phone Number
903-759-4607
Fax Number
903-759-3626
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
20261 (Texas)
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.
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