DR. RICHARD BEVILACQUA
NPI 1174768741
Dentist - Oral and Maxillofacial Surgery in Glastonbury, CT

Q: What is Connecticut Maxillofacial Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since December 10, 2008

71A NAUBUC AVE, GLASTONBURY, CT 06033(860) 633-3519(860) 633-3510 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Richard Bevilacqua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD BEVILACQUA (NPI 1174768741) is a healthcare organization registered as an oral and maxillofacial surgery in Glastonbury, Connecticut and active in the NPI registry since December 2008. The organization lists Richard G Bevilacqua, President, as its authorized official.

NPPES Registry Identity

NPI1174768741

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCONNECTICUT MAXILLOFACIAL ASSOCIATES, P.C.

Location Address71A NAUBUC AVEGlastonbury, CT 06033-2006

Mailing Address71a Naubuc AveGlastonbury, CT 06033-2006 · (860) 633-3519 · Fax (860) 633-3510

Phone(860) 633-3519

Fax(860) 633-3510

Organization SubpartNo

Authorized OfficialRichard G BevilacquaPresident · (860) 633-3519

Enumeration DateDecember 10, 2008

Last NPPES UpdateDecember 30, 2008

✔ NPI 1174768741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CT · 133645

Definition

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.

71A NAUBUC AVE, Glastonbury, CT 06033

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Other Names 1

Doing Business AsDr. Richard Bevilacqua

Other Identifiers 1

Medicare UPINF84844CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD G BEVILACQUA D.M.D., M.D.

Dentist (Oral and Maxillofacial Surgery)

71A NAUBUC AVE
GLASTONBURY, CT 06033

Capitol Planning Region (860) 633-3519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connecticut Maxillofacial Associates, P.C.'s NPI number?

The NPI number for Connecticut Maxillofacial Associates, P.C. is 1174768741. It was assigned to this organization in the NPPES registry on December 10, 2008. The provider is doing business as Dr. Richard Bevilacqua.

Where is Connecticut Maxillofacial Associates, P.C. located?

Connecticut Maxillofacial Associates, P.C. is located at 71A Naubuc Ave, Glastonbury, CT 06033. The listed phone number is (860) 633-3519.

What is Connecticut Maxillofacial Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Connecticut Maxillofacial Associates, P.C. was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.