Organization · Type 2 NPI
Craig A. Stasulis Dmd, Md, Oral and Maxillofacial Surgery, Inc
Oral and Maxillofacial Surgery (Dentist) · Newington, CT
NPI number
1881237402
Active
Practice location
435 Willard Ave Unit D
Newington, CT 06111-2318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
Another provider at this address
About NPI 1881237402
Craig A. Stasulis Dmd, Md, Oral and Maxillofacial Surgery, Inc's National Provider Identifier is 1881237402, issued on Oct 27, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Newington, CT. The record was last updated on Feb 25, 2020.