Stasulis, Craig Allen

Stasulis, Craig Allen is an individual health care provider with primary practice located at 435 Willard Ave Unit D , Newington CT 06111-2318. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Stasulis, Craig Allen can be contacted via phone (860) 796-1329.

Contact Information

Primary practice address
435 Willard Ave Unit D Newington CT 06111-2318
Phone: (860) 796-1329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 009948 Connecticut
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 48060 Connecticut

Profile Details

NPI number 1649464991
LBN Legal business name Stasulis, Craig Allen
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Oct 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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