MEDICARE: GREGORY M. SCARCELLO, DDS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1760368864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREGORY M. SCARCELLO, DDS, INC.

Provider Business Mailing Address
First Line	:	3714 STATE ST # C-1
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3104
Country	:	US
Telephone Number	:	805-565-9837
Fax Number	:

Provider Business Practice Location Address
First Line	:	3714 STATE ST # C-1
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3104
Country	:	US
Telephone Number	:	805-565-9837
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	GREGORY M. SCARCELLO
Credential	:	DDS
Telephone Number	:	805-565-9837

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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