Richard G Bevilacqua, D.M.D., M.D. is an oral and maxillofacial surgery dentist in Glastonbury, CT with 37 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. Richard G Bevilacqua, D.M.D., M.D. NPI is 1477543767. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1987
The provider's business location address is:
71A NAUBUC AVE
GLASTONBURY, CT
ZIP 06033-006
Phone: (860) 633-3519
Fax: (860) 633-3510
The NPI 1477543767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/27/2005 and was last updated on 12/10/2008.