GREGORY A. SANTARELLI DDS SC NPI 1083891261

NPI Information

  • NPI: 1083891261
  • Provider Name: GREGORY A. SANTARELLI DDS SC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 5017 GREEN BAY RD STE 138
    KENOSHA, WI
    ZIP 53144
  • Phone: (262) 654-6770

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NPI Details

GREGORY A. SANTARELLI DDS SC is an oral and maxillofacial surgery dentist in Kenosha, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GREGORY A. SANTARELLI DDS SC NPI is 1083891261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5017 GREEN BAY RD STE 138
KENOSHA, WI
ZIP 53144-782
Phone: (262) 654-6770
Fax: (262) 654-6727

The provider's authorized official is Patricia R Lee .
The authorized official title is Office Manager and has the following contact phone number (262) 654-6770.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 10/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery5188015WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000079992MEDICARE PINWISCONSIN
2V0325MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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