Dr. Kenneth J. Stavisky, Ltd. - Dental Clinic in South Burlington, VT

Dr. Kenneth J. Stavisky, Ltd. is a dental clinic (Dentist - Endodontics) in South Burlington, Vermont. The current practice location for Dr. Kenneth J. Stavisky, Ltd. is 99 Swift St, Suite 115, South Burlington, Vermont. For appointments, you can reach them via phone at (802) 865-1212. The mailing address for Dr. Kenneth J. Stavisky, Ltd. is 99 Swift St, Suite 115, South Burlington, Vermont and phone number is (802) 865-1212.

Dr. Kenneth J. Stavisky, Ltd. is licensed to practice in Vermont (license number 01600001242) and its NPI number is 1942384979. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (802) 865-1212.

Contact Information

Dr. Kenneth J. Stavisky, Ltd.
99 Swift St
Suite 115
South Burlington
VT 05403-7303
(802) 865-1212
(802) 865-4666

Dental Care Clinic Profile

Full NameDr. Kenneth J. Stavisky, Ltd.
SpecialityDentist - Endodontics
Location99 Swift St, South Burlington, Vermont
Authorized Official Name and PositionMartha Whitcomb Philbrick (OFFICE MANAGER)
Authorized Official Contact8028651212
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr. Kenneth J. Stavisky, Ltd.
99 Swift St
Suite 115
South Burlington
VT 05403-7303

Ph: (802) 865-1212
Dr. Kenneth J. Stavisky, Ltd.
99 Swift St
Suite 115
South Burlington
VT 05403-7303

Ph: (802) 865-1212

NPI Details:

NPI Number1942384979
Provider Enumeration Date10/25/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Dr. Kenneth J. Stavisky, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942384979NPI-NPPES
1962512038OtherVTINDIVIDUAL NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 01600001242 (Vermont)Primary

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