Bevilacqua, Richard G

Bevilacqua, Richard G is an sole proprietor health care provider with primary practice located at 71A Naubuc Ave , Glastonbury CT 06033-2006. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bevilacqua, Richard G can be contacted via phone (860) 633-3519.

Contact Information

Primary practice address
71A Naubuc Ave Glastonbury CT 06033-2006
Phone: (860) 633-3519
Fax: (860) 633-3510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 008006 Connecticut

Profile Details

NPI number 1477543767
LBN Legal business name Bevilacqua, Richard G
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Dec 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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