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DR. CRAIG ALLEN STASULIS D.M.D., M.D.
NPI 1649464991
Oral & Maxillofacial Surgery in Newington, CT

Active since August 30, 2007Opted out of Medicare · through Feb 27, 2028
435 WILLARD AVE UNIT D, NEWINGTON, CT 06111(860) 796-1329 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Oct 27, 2019 (2 updates tracked since 2019).

About Dr. Craig Allen Stasulis D.m.d., M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRAIG ALLEN STASULIS D.M.D., M.D. (NPI 1649464991) is an individual oral & maxillofacial surgery provider in Newington, Connecticut, licensed in Connecticut (48060) and active in the NPI registry since August 2007. He has opted out of Medicare through February 27, 2028.

NPPES Registry Identity

NPI1649464991
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. CRAIG ALLEN STASULISCredential: D.M.D., M.D.
Location Address435 WILLARD AVE UNIT DNewington, CT 06111-2318
Mailing Address435 Willard Ave Unit DNewington, CT 06111-2318 · (860) 796-1329
Phone(860) 796-1329
Sole ProprietorNo
Enumeration DateAugust 30, 2007
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1649464991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CT · 48060
Definition
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 009948 (CT)
435 WILLARD AVE UNIT D, Newington, CT 06111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Craig Allen Stasulis D.m.d., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2020 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2020
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG A. STASULIS DMD, MD, ORAL AND MAXILLOFACIAL SURGERY, INC
Dentist (Oral and Maxillofacial Surgery)
435 WILLARD AVE UNIT D
NEWINGTON, CT 06111
Capitol Planning Region (860) 796-1329

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 Craig Stasulis's NPI number?

The NPI number for Craig Stasulis is 1649464991. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Craig Stasulis located?

Craig Stasulis practices at 435 Willard Ave Unit D, Newington, CT 06111. The listed phone number is (860) 796-1329.

What is Craig Stasulis's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Craig Stasulis enrolled in Medicare?

No. Craig Stasulis has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Craig Stasulis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Craig Stasulis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig Stasulis was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.