Individual provider · Type 1 NPI

Gregory A. Santarelli, DDS SC

Oral and Maxillofacial Surgery (Dentist) · Kenosha, WI

NPI number 1578640488 Active

Practice location

5017 Green Bay Rd, Suite 138
Kenosha, WI 53144-1782

Fax (262) 654-6727

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5188015 (WI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1578640488

Gregory A. Santarelli, DDS SC's National Provider Identifier is 1578640488, issued on Nov 1, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Kenosha, WI. The record was last updated on Jul 10, 2008.