NPI 1649464991

Craig Allen Stasulis, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Newington, CT

Practice location

Address: 435 Willard Ave Unit D, Newington, CT 06111-2318
Phone: (860) 796-1329

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 48060 (CT)

Other Oral & Maxillofacial Surgery providers in Connecticut →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 009948 (CT)

Other Dentist providers in Connecticut →

Registry record

NPI: 1649464991
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2007
Record last updated: 28 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.