Yes I know if it has???? been rebuilt it could have a flat top. BUT if it hasn't been It will have either a flat top(being a 230) Dished if it's a true Non rebuilt 250 it will have a dished piston.As to what it came out of That didn't or doesn't really matter. IF it hasn't been touched in anyway and IS truly STOCK.
( I have yet to ever see a STOCK flat top 250 Even from any truck)
But yes it would be better to pull the head.Or maybe even the oil pan to be able to check the stroke.