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

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: November 01, 2026.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Bevilacqua is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Richard Bevilacqua, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Bevilacqua, D.M.D., M.D.
Maxillofacial Surgery
NPI 1477543767
71A NAUBUC AVE
Glastonbury, CT 06033
(860) 633-3519
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Connecticut Maxillofacial Associates, P.C. enrolled in Medicare?

Yes. Connecticut Maxillofacial Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Maxillofacial Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Connecticut Maxillofacial Associates, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.