Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD G BEVILACQUA, D.M.D., M.D.
Active Sole ProprietorRICHARD G BEVILACQUA, D.M.D., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in GLASTONBURY, Connecticut. NPI 1477543767 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GLASTONBURY, CT
Registration Details
- NPI Number
- 1477543767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2005 (20.755233935593 yrs)
- Last Updated
- Dec 10, 2008
- License
-
008006 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
71A NAUBUC AVEGLASTONBURY, CT, 060332006Browse CT providers · Browse ZIP 06033
- Phone
- 8606333519
- Fax
- 8606333510
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in GLASTONBURY, CT
| Name | Credential | NPI |
|---|---|---|
| DR. RICCARDO I AMBROGIO | DMD | 1538212725 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.