Centerville Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14028 Issued in MA

Legal business name

CENTERVILLE DENTAL ASSOCIATES, PC

Practice address

1645 Falmouth Rd
Centerville, MA 02632-2932

Phone

(508) 775-9363

Fax

(508) 862-0358

NPI assigned

Mar 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard R ShakalisNPI 1588797740

Title

President

Phone

(508) 775-9363

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard R Shakalis

  • General Practice Dentistry
  • Centerville, MA
  • NPI 1588797740
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376676551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322932",
            "telephone_number": "508-775-9363",
            "fax_number": "508-862-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322932",
            "telephone_number": "508-775-9363",
            "fax_number": "508-862-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAKALIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-775-9363",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13366",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14028",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "14439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lee Cantwell, LICSW
• Cape Chiropractic Group LLC
• Cape Head Injured Persons Housing and Education Group Inc
• Cape Regency Ma SNF LLC (Cape Regency Rehabilitation & Health Care Center)
• Anthony Cedeno Jr.
• Centerville Family Dental Care L.L.C
• Centerville SNF Operations, LLC (Cape Regency Rehabilitation & Health Care Center)
• Centerville-Osterville-Marstons-Mills Fire District
• Keith E Chagaris, ATC, PTA, CSCS
• Leslie J Colton

• General Practice Dentistry in Centerville, MA
• Providers in Centerville, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.