Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790839199 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony J Distefano , DDS

Dentist • Worcester, MA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Distefano has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date February 18, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Distefano, DDS was a registered Dentist practicing in Worcester, MA. Throughout an active medical career spanning 15 years, Dr. Distefano provided care at the practice location at 562 LINCOLN ST until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

562 Lincoln St

Worcester, MA 016051916

Telephone 5088520854
Fax 5088530364
Associated Practice Facility / Clinic
🏢 Anthony Distefano, Jr Md Facility NPI 1063646552

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Worcester, MA (3030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA 12966

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 562 LINCOLN ST, WORCESTER, MA 016051916 (Tel: 5088520854)

📍
Updated Business Mailing Address July 08, 2007

Registered at 562 LINCOLN ST, WORCESTER, MA 016051916 (Tel: 5088520854)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANTHONY DISTEFANO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12966 in MA)

🟢
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Anthony Distefano. Be the first to share your experience!

Sign in to leave a review for Dr. Anthony Distefano

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790839199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: February 18, 2022

Mailing Address

562 Lincoln St

Worcester, MA 016051916

Phone: 5088520854

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.