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SANTIAGO ALFONSO SURILLO DDS MS
NPI 1669521050
Dentist - Pediatric Dentistry in La Mesa, CA

Active since January 09, 2007
4700 SPRING STREET, SUITE 104, LA MESA, CA 91941(619) 461-6166(619) 461-2508 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santiago Alfonso Surillo Dds Ms NPPES

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

SANTIAGO ALFONSO SURILLO DDS MS (NPI 1669521050) is an individual pediatric dentistry provider in La Mesa, California, licensed in California (41045) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1669521050
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameSANTIAGO ALFONSO SURILLOCredential: DDS MS
Location Address4700 SPRING STREET, SUITE 104La Mesa, CA 91941
Mailing Address4700 Spring Street, Suite 104La Mesa, CA 91941 · (619) 461-6166 · Fax (619) 461-2508
Phone(619) 461-6166
Fax(619) 461-2508
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 21, 2014
✔ NPI 1669521050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 41045
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 41045 (CA)
4700 SPRING STREET, La Mesa, CA 91941
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Other Identifiers 1

Medicare ID-Type Unspecified515327CA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW JAMES CARLOS EDMONDSON
Behavior Technician
4700 SPRING STREET, STE. 180
SAN DIEGO, CA 91941
San Diego County (619) 404-0839
CYNTHIA ANN THAYER LCSW
Psychologist
4700 SPRING STREET, SUITE 204
LA MESA, CA 91941
San Diego County (619) 461-4700
DR. CARTER CAMPBELL GARDNER PH.D.
Psychologist (Counseling)
4700 SPRING STREET, SUITE 204
LA MESA, CA 91941
San Diego County (619) 627-7701

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 Santiago Surillo's NPI number?

The NPI number for Santiago Surillo is 1669521050. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Santiago Surillo located?

Santiago Surillo practices at 4700 Spring Street Suite 104, La Mesa, CA 91941. The listed phone number is (619) 461-6166.

What is Santiago Surillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Santiago Surillo was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.