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GREGORY A. SANTARELLI DDS SC
NPI 1083891261
Dentist - Oral and Maxillofacial Surgery in Kenosha, WI

Active since January 30, 2008
5017 GREEN BAY RD STE 138, KENOSHA, WI 53144(262) 654-6770(262) 654-6727 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory A. Santarelli Dds Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY A. SANTARELLI DDS SC (NPI 1083891261) is a healthcare organization registered as an oral and maxillofacial surgery in Kenosha, Wisconsin and active in the NPI registry since January 2008. The organization lists Patricia R Lee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083891261
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREGORY A. SANTARELLI DDS SC
Location Address5017 GREEN BAY RD STE 138Kenosha, WI 53144-1782
Mailing Address5017 Green Bay Rd Ste 138Kenosha, WI 53144-1782 · (262) 654-6770 · Fax (262) 654-6727
Phone(262) 654-6770
Fax(262) 654-6727
Organization SubpartNo
Authorized OfficialPatricia R LeeOffice Manager · (262) 654-6770
Enumeration DateJanuary 30, 2008
Last NPPES UpdateOctober 5, 2009
✔ NPI 1083891261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 5188015
Definition
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.
5017 GREEN BAY RD STE 138, Kenosha, WI 53144
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Other Identifiers 2

Medicare PIN000079992WI
Medicare UPINV0325WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory A. Santarelli Dds Sc's NPI number?

The NPI number for Gregory A. Santarelli Dds Sc is 1083891261. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Gregory A. Santarelli Dds Sc located?

Gregory A. Santarelli Dds Sc is located at 5017 Green Bay Rd Ste 138, Kenosha, WI 53144. The listed phone number is (262) 654-6770.

What is Gregory A. Santarelli Dds Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Gregory A. Santarelli Dds Sc was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.