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Richard G Bevilacqua, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Glastonbury, Connecticut
NPI 1477543767

Richard G Bevilacqua is a Oral and Maxillofacial Surgery (Dentist) based in Glastonbury, CT and is specialized in Oral and Maxillofacial Surgery. Richard G Bevilacqua practices in Glastonbury, CT and has the professional credentials of DMD,MD. The NPI Number for Richard G Bevilacqua is 1477543767 and holds a License No. 008006 (Connecticut).

The current practice location address for Richard G Bevilacqua is 71A Naubuc Ave, Glastonbury, CT and can be reached out via phone at 860-633-3519 and via fax at 860-633-3510.

Location: 71A Naubuc Ave, Glastonbury, CT, 06033-2006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477543767
Provider Name
Richard G Bevilacqua
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
71A Naubuc Ave, Glastonbury, CT, 06033-2006
Phone Number
860-633-3519
Fax Number
860-633-3510
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
71A Naubuc Ave
City
Glastonbury
State
Connecticut
Zip
06033-2006
Phone Number
860-633-3519
Fax Number
860-633-3510
person
Provider Business Mailing Address Details
Address
71A Naubuc Ave
City
Glastonbury
State
Connecticut
Zip
06033-2006
Phone Number
860-633-3519
Fax Number
860-633-3510
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
008006 (Connecticut)
Definition
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.
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