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

LBN: Craig A. Stasulis Dmd, Md, Oral And Maxillofacial Surgery, Inc
Craig A. Stasulis Dmd, Md, Oral And Maxillofacial Surgery, Inc is an health care organization with primary practice located at 435 Willard Ave Unit D , Newington CT 06111-2318. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Craig A. Stasulis Dmd, Md, Oral And Maxillofacial Surgery, Inc can be contacted via phone (860) 796-1329, or through Stasulis, Craig Allen via phone (860) 500-7995.

Contact Information

Primary practice address
435 Willard Ave Unit D Newington CT 06111-2318
Phone: (860) 796-1329
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stasulis, Craig Allen DMD, MD
Phone: (860) 500-7995

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1881237402
LBN Legal business name Craig A. Stasulis Dmd, Md, Oral And Maxillofacial Surgery, Inc
DBA Doing business as
Authorized official Stasulis, Craig Allen DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2019
Last updated Feb 25th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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