# GREGORY A. SANTARELLI DDS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083891261
- **Authorized official:** MRS. PATRICIA R LEE (OFFICE MANAGER)
- **Authorized official phone:** (262) 654-6770

## Contact information

- **Practice address:** 5017 GREEN BAY RD STE 138, KENOSHA, WI 53144-1782
- **Practice address phone:** (262) 654-6770
- **Practice address fax:** (262) 654-6727
- **Mailing address:** 5017 GREEN BAY RD STE 138, KENOSHA, WI 53144-1782
- **Mailing address phone:** (262) 654-6770
- **Mailing address fax:** (262) 654-6727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5188015 | WI | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 10/05/2009