Kevin James Distefano, DDS
General Practice Dentistry · Worthington, OH
Practice location
5868 N High StWorthington, OH 43085-4183
- Phone
- (614) 885-8191
NPI record
- NPI
- 1972581395
- Entity type
- Individual (Type 1)
- Enumeration date
- January 5, 2006
- Last updated
- November 10, 2009
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
30017328 | OH |
About Dr. Distefano
Kevin James Distefano, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5868 N High St, Worthington, OH 43085-4183. The NPI number 1972581395 was assigned on January 5, 2006 and the record was last updated on November 10, 2009.
Dr. Distefano lists a license in the registry: #30017328 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kevin James Distefano, DDS?
The NPI number is 1972581395.
What is the phone number of Dr. Distefano?
The phone number listed for the practice location is (614) 885-8191.
Where is Dr. Distefano located?
5868 N High St, Worthington, OH 43085-4183.
What is the taxonomy code for Dr. Distefano?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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