OrganizationActive
Connecticut Maxillofacial Associates, P.C.
NPI 1174768741 · Oral and Maxillofacial Surgery (Dentist) · Glastonbury, CT
Provider details
- NPI number
- 1174768741
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Richard Bevilacqua, President(860) 633-3519
- License
- 133645 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
71a Naubuc Ave
Glastonbury, CT 06033-2006
Phone: (860) 633-3519
Fax: (860) 633-3510
Approximate (ZIP-level) locationGet directions
Mailing address
71a Naubuc Ave
Glastonbury, CT 06033-2006
Other names (DBA / former)
- Doing business as
- Dr. Richard Bevilacqua
Registry dates
- Enumerated
- 2008-12-10
- Last updated
- 2008-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.