Active NPIOrganization

Centerville Dental Associates, PC

Dentist, General Practice in Centerville, Massachusetts

NPI Number1376676551
Practice location
1645 Falmouth RD, Centerville, MA 02632-2932
Fax
508-862-0358
Last updated
September 11, 2025

Centerville Dental Associates, PC is a healthcare organization based in Centerville, MA. Centerville Dental Associates, PC practices in Centerville, MA. The NPI Number for Centerville Dental Associates, PC is 1376676551 and holds a License No. 13366 (MA). The current practice location address for Centerville Dental Associates, PC is 1645 Falmouth RD, Centerville, MA 02632-2932 and can be reached out via phone at 508-775-9363 and via fax at 508-862-0358.

Provider Profile Details

NPI Number
1376676551
Provider Name
Centerville Dental Associates, PC
Provider Entity Type
Organization
Address
1645 Falmouth RD, Centerville, MA 02632-2932
Phone Number
508-775-9363
Fax Number
508-862-0358
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Richard R Shakalis · President · 508-775-9363
Provider Enumeration Date
March 14, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1645 Falmouth RD
Centerville, MA 02632-2932
Zip
02632-2932
Phone Number
508-775-9363
Fax Number
508-862-0358
Centerville, MA 02632Get directions →

Provider Business Mailing Address Details

Address
1645 Falmouth RD
Centerville, MA 02632-2932
City
Centerville
State
MA
Zip
02632-2932
Phone Number
508-775-9363
Fax Number
508-862-0358

License Information

License Number (1)
13366
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
14439
License State (2)
MA
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (3)
14028
License State (3)
MA
Taxonomy (3)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Centerville Dental Associates, PC?

The NPI number of Centerville Dental Associates, PC is 1376676551. It was assigned on March 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Centerville Dental Associates, PC?

Centerville Dental Associates, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 13366.

Where does Centerville Dental Associates, PC practice?

The practice location is 1645 Falmouth RD, Centerville, MA 02632-2932. The office can be reached at 508-775-9363 (phone) or 508-862-0358 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376676551 directly on the NPPES registry website.

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