IndividualActive

Craig Stasulis, D.M.D., M.D.

NPI 1649464991 · Oral & Maxillofacial Surgery (D.M.D.) · Newington, CT

Provider details

NPI number: 1649464991
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: D.M.D., M.D.
Sex: Male
Sole proprietor: No
License: 009948 (CT)

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense 48060 (CT)
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 009948 (CT)
Dental Providers

435 Willard Ave Unit D

Newington, CT 06111-2318

Phone: (860) 796-1329

Approximate (ZIP-level) locationGet directions

435 Willard Ave Unit D

Newington, CT 06111-2318

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.