Healthcare Provider Details

I. General information

NPI: 1144132119
Provider Name (Legal Business Name): SANTELI DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 W GRANADA BLVD STE 10B
ORMOND BEACH FL
32174-3127
US

IV. Provider business mailing address

1185 W GRANADA BLVD STE 10B
ORMOND BEACH FL
32174-3127
US

V. Phone/Fax

Practice location:
  • Phone: 386-667-7747
  • Fax:
Mailing address:
  • Phone: 386-667-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. RENATA SANTELI
Title or Position: OWNER
Credential: DMD
Phone: 786-252-0900