OrganizationActive
Scott Distefano DDS PLLC
NPI 1114803483 · General Practice Dentistry · Longview, TX
Scott Distefano DDS PLLC is a General Practice Dentistry organization in Longview, TX (NPI 1114803483).
Provider details
- NPI number
- 1114803483
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenny Garcia-Rocha, Sr Credentialing Team Lead(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3535 N Fourth St Ste 303
Longview, TX 75605-0038
Phone: (903) 759-4607
Street-level locationGet directions
Mailing address
3535 N Fourth St Ste 303
Longview, TX 75605-0038
Other names (DBA / former)
- Doing business as
- Distefano Dental Studio
Registry dates
- Enumerated
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Scott Distefano DDS PLLC's NPI number?
- Scott Distefano DDS PLLC's National Provider Identifier (NPI) is 1114803483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Scott Distefano DDS PLLC?
- Scott Distefano DDS PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Scott Distefano DDS PLLC located?
- Scott Distefano DDS PLLC's practice location on file with NPPES is 3535 N Fourth St Ste 303, Longview, TX 75605-0038.
- What is Scott Distefano DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Scott Distefano DDS PLLC is (903) 759-4607.
- Who is the authorized official for Scott Distefano DDS PLLC?
- The authorized official listed on Scott Distefano DDS PLLC's NPPES record is Jenny Garcia-Rocha, Sr Credentialing Team Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Scott Distefano DDS PLLC's NPI active?
- Yes — Scott Distefano DDS PLLC's NPI (1114803483) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.