OrganizationActive
Shawsheen Family Dental
NPI 1982907762 · Dental Clinic/Center · Tewksbury, MA
Provider details
- NPI number
- 1982907762
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carla Bustillo-Gonzalez, Owner(978) 851-7112
- License
- 20116 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1455 Main St
Tewksbury, MA 01876-4769
Phone: (978) 851-7112
Fax: (978) 851-2811
Street-level locationGet directions
Mailing address
1455 Main St
Tewksbury, MA 01876-4769
Registry dates
- Enumerated
- 2010-12-16
- Last updated
- 2010-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.