IndividualActive
Gregory Santarelli, DDS SC
NPI 1578640488 · Oral and Maxillofacial Surgery (Dentist) · Kenosha, WI
Provider details
- NPI number
- 1578640488
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS SC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5188015 (WI)
Specialties & taxonomies
Dental Providers
Practice location
5017 Green Bay Rd
Suite 138
Kenosha, WI 53144-1782
Phone: (262) 654-6770
Fax: (262) 654-6727
Approximate (ZIP-level) locationGet directions
Mailing address
5017 Green Bay Rd
Kenosha, WI 53144-1782
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2008-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.