Dr Craig Allen Stasulis, DMD, MD is a
Oral & Maxillofacial Surgery based in Newington, Connecticut. Dr Craig Allen Stasulis is licensed to practice in Connecticut (license number 48060) and his current practice location is
435 Willard Ave Unit D, Newington, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 796-1329.
NPI number for Dr Craig Allen Stasulis is 1649464991 and his current mailing address is 435 Willard Ave Unit D, Newington, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649464991.
Healthcare Provider's Profile
Full Name | Dr Craig Allen Stasulis |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 435 Willard Ave Unit D, Newington, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649464991
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 10/28/2019
Medical Identifiers
Medical identifiers for Dr Craig Allen Stasulis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649464991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 009948 (Connecticut) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 48060 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig Allen Stasulis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Craig Allen Stasulis, DMD, MD 435 Willard Ave Unit D, Newington, CT 06111-2318 Ph: (860) 796-1329 | Dr Craig Allen Stasulis, DMD, MD 435 Willard Ave Unit D, Newington, CT 06111-2318 Ph: (860) 796-1329 |
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