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CRAIG A. STASULIS DMD, MD, ORAL AND MAXILLOFACIAL SURGERY, INC
NPI 1881237402
Dentist - Oral and Maxillofacial Surgery in Newington, CT

Active since October 27, 2019
435 WILLARD AVE UNIT D, NEWINGTON, CT 06111(860) 796-1329 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2020, Nov 21, 2019, Oct 28, 2019 and 1 more (4 updates tracked since 2019).

About Craig A. Stasulis Dmd, Md, Oral And Maxillofacial Surgery, Inc NPPES

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

CRAIG A. STASULIS DMD, MD, ORAL AND MAXILLOFACIAL SURGERY, INC (NPI 1881237402) is a healthcare organization registered as an oral and maxillofacial surgery in Newington, Connecticut and active in the NPI registry since October 2019. The organization lists Craig Allen Stasulis, Owner, as its authorized official.

NPPES Registry Identity

NPI1881237402
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCRAIG A. STASULIS DMD, MD, ORAL AND MAXILLOFACIAL SURGERY, INC
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
Organization SubpartNo
Authorized OfficialCraig Allen StasulisOwner · (860) 500-7995
Enumeration DateOctober 27, 2019
Last NPPES UpdateFebruary 25, 20204 updates tracked since enumeration
✔ NPI 1881237402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
435 WILLARD AVE UNIT D, Newington, CT 06111
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. CRAIG ALLEN STASULIS D.M.D., M.D.
Oral & 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 A. Stasulis Dmd, MD, Oral And Maxillofacial Surgery, Inc's NPI number?

The NPI number for Craig A. Stasulis Dmd, MD, Oral And Maxillofacial Surgery, Inc is 1881237402. It was assigned to this organization in the NPPES registry on October 27, 2019.

Where is Craig A. Stasulis Dmd, MD, Oral And Maxillofacial Surgery, Inc located?

Craig A. Stasulis Dmd, MD, Oral And Maxillofacial Surgery, Inc is located at 435 Willard Ave Unit D, Newington, CT 06111. The listed phone number is (860) 796-1329.

What is Craig A. Stasulis Dmd, MD, Oral And Maxillofacial Surgery, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Craig A. Stasulis Dmd, MD, Oral And Maxillofacial Surgery, Inc was last updated on February 25, 2020. 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.