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DR. CRAIG ALLEN STASULIS D.M.D. M.D. NPI 1649464991


NPI Information

NPI: 1649464991
Provider Name: DR. CRAIG ALLEN STASULIS, D.M.D., M.D.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
435 WILLARD AVE UNIT D
NEWINGTON, CT
ZIP 06111
Phone: (860) 796-1329
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DR. Craig Allen Stasulis, D.M.D., M.D. is an oral maxillofacial surgery in Newington, CT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Craig Allen Stasulis, D.M.D., M.D. NPI is 1649464991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

435 WILLARD AVE UNIT D
NEWINGTON, CT
ZIP 06111-318
Phone: (860) 796-1329

The enumeration date for this NPI number is 8/30/2007 and was last updated on 10/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery009948CONNECTICUTNo
2204E00000XOral & Maxillofacial Surgery48060CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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