Active NPI 1861593014 Individual Practitioner Male Practitioner

Dr. Scott Edward Distefano , DDS

Dentist - General Practice • Longview, TX

Professional Overview & Biography Verified Profile Summary

Dr. Scott Distefano, DDS is a registered healthcare professional specializing in Dentist - General Practice in Longview, TX. Practice services are available at 3535 N 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3535 N 4th St
Ste 303

Longview, TX 75605

Telephone 9037594607

Fax 9037593626

Associated Practice Facility / Clinic

🏢 Scott Distefano Dds Pllc Facility NPI 1114803483

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

64 Specialists

Practicing in Longview, TX (10570 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

CMS Verified: 2025-10-15

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 20261

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.

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 15, 2025

Registered at 3535 N 4TH ST, STE 303, LONGVIEW, TX 75605 (Tel: 9037594607)

📍

Updated Business Mailing Address October 15, 2025

Registered at 3535 N 4TH ST, STE 303, LONGVIEW, TX 75605 (Tel: 9037594607)

👤

Provider Name / Credentials Updated October 15, 2025

Recorded as SCOTT DISTEFANO, DDS

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1201 PINE TREE RD, LONGVIEW, TX 756043154 (Tel: 9037594607)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1201 PINE TREE RD, LONGVIEW, TX 756043154 (Tel: 9037594607)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT DISTEFANO, D.D.S.

🎓

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

Dentist (License #20261 in TX)

🟢

Initial NPI Registration & Enumeration September 26, 2006

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. Scott Distefano. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1861593014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2006

Last Update: October 15, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3535 N 4th St, Ste 303

Longview, TX 75605

Phone: 9037594607

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.