Organization
CENTERVILLE DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R SHAKALIS (PRESIDENT)
(508) 775-9363
Entity
Organization
Contact information
Practice address
1645 FALMOUTH RD, CENTERVILLE, MA 02632-2932
(508) 775-9363
(508) 862-0358
Mailing address
1645 FALMOUTH RD, CENTERVILLE, MA 02632-2932
(508) 775-9363
(508) 862-0358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13366
MA
1223G0001X
General Practice Dentistry
Primary
14028
MA
1223P0221X
Pediatric Dentistry
14439
MA
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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