Richard G Bevilacqua in Glastonbury - Oral And Maxillofacial Surgery

Richard G Bevilacqua - NPI 1477543767

Richard G Bevilacqua is a Oral And Maxillofacial Surgery in Glastonbury, Connecticut. Richard G Bevilacqua practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Richard G Bevilacqua is 1477543767. The last update date is 2008-12-10.

Richard G Bevilacqua's current location address is 71a Naubuc Ave, Glastonbury, Connecticut. You can contact this provider via phone number 8606333519 and fax number 8606333510. The mailing address for Richard G Bevilacqua is 71a Naubuc Ave, Glastonbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard G Bevilacqua
Address 71a Naubuc Ave, Glastonbury, Connecticut
Phone Number 8606333519
Fax Number 8606333510
Sole Proprietor Y
Credentials D.M.D., M.

NPI Number Detail

NPI Number 1477543767
Provider Enumeration Date 2005-10-27
Last Updated Date 2008-12-10

Provider Mailing Address Detail

Address 71a Naubuc Ave
City Glastonbury
State Connecticut (CT)
Post Code 60332006
Phone Number 8606333519
Fax Number 8606333510

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 8006
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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FAQs about Richard G Bevilacqua

What is the unique identifier code issued to Richard G Bevilacqua by the Centers for Medicare & Medicaid Services?

The Richard G Bevilacqua has been assigned the NPI (National Provider Identifier) 1477543767. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Richard G Bevilacqua is physically located?

The Richard G Bevilacqua is situated at the following address: 71A Naubuc Ave, Glastonbury, CT 60332006.

What is Richard G Bevilacqua's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Richard G Bevilacqua is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477543767 to Richard G Bevilacqua?

The Richard G Bevilacqua received its 1477543767 assignment from the Centers for Medicare & Medicaid Services on 2005-10-27.

As of what date was the information regarding Richard G Bevilacqua, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard G Bevilacqua, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-10.

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