Individual provider · Type 1 NPI
Richard G. Bevilacqua, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Glastonbury, CT
NPI number
1477543767
Active
Practice location
71A Naubuc Ave
Glastonbury, CT 06033-2006
Fax (860) 633-3510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 008006 (CT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Glastonbury
About NPI 1477543767
Richard G. Bevilacqua, DMD, MD's National Provider Identifier is 1477543767, issued on Oct 27, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glastonbury, CT. The record was last updated on Dec 10, 2008.