Santiago Alfonso Surillo
DDS MS | Pediatric Dentist
4700 Spring Street, Suite 104, La Mesa
California, 91941
619-461-6166 619-461-2508
Maps & DirectionsSantiago Alfonso Surillo is a La Mesa, California based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Santiago Alfonso Surillo is
41045 for Pediatric Dentistry in California. His current practice location is
4700 Spring Street, Suite 104, La Mesa. Patients can reach him at
619-461-6166.
Santiago Alfonso Surillo provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Santiago Alfonso Surillo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Santiago Alfonso Surillo |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS MS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4700 Spring Street, Suite 104, La Mesa,
California, 91941 |
| Phone: | 619-461-6166 |
| Fax: | 619-461-2508 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1669521050 |
| NPI Enumeration Date: | 09 Jan, 2007 |
| NPI Last Update On: | 21 Oct, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Santiago Alfonso Surillo are as mentioned below.
| License Number | Specialization | State | Status | |
| 41045 | Pediatric Dentistry | California | Primary | |
| 41045 | Orthodontics and Dentofacial Orthopedics | California | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4700 Spring Street, Suite 104
La Mesa, California |
| Zip: | 91941 |
| Phone Number: | 619-461-6166 |
| Fax Number: | 619-461-2508 |
Patients can reach Santiago Alfonso Surillo at
4700 Spring Street, Suite 104, La Mesa, California or can
call to book an appointment on 619-461-6166.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.