Search › Connecticut › Oral and Maxillofacial Surgery (Dentist)
Richard Bevilacqua, D.M.D., M.D
NPI 1477543767 · on the registry since 2005 · sole proprietor
Practice
- Address
- 71a Naubuc Ave
Glastonbury, CT 06033 - Phone
- (860) 633-3519
- Fax
- (860) 633-3510
- Organisation at this address
- Connecticut Maxillofacial Associates, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut