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DR. KENNETH J. STAVISKY, LTD.
NPI 1942384979
Dentist - Endodontics in South Burlington, VT

Active since October 25, 2006
99 SWIFT ST, SUITE 115, SOUTH BURLINGTON, VT 05403(802) 865-1212(802) 865-4666 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth J. Stavisky, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH J. STAVISKY, LTD. (NPI 1942384979) is a healthcare organization registered as an endodontics in South Burlington, Vermont and active in the NPI registry since October 2006. The organization lists Martha Whitcomb Philbrick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942384979
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameDR. KENNETH J. STAVISKY, LTD.
Location Address99 SWIFT ST, SUITE 115South Burlington, VT 05403-7303
Mailing Address99 Swift St, Suite 115South Burlington, VT 05403-7303 · (802) 865-1212 · Fax (802) 865-4666
Phone(802) 865-1212
Fax(802) 865-4666
Organization SubpartNo
Authorized OfficialMartha Whitcomb PhilbrickOffice Manager · (802) 865-1212
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942384979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in VT · 01600001242
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

99 SWIFT ST, South Burlington, VT 05403
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Other Identifiers 1

Other1962512038VT · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RETINA CENTER OF VERMONT, INC
Ophthalmology
99 SWIFT ST, SUITE 200
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 864-3937
DR. PEGGY S LINDSEY M.D.
Ophthalmology
99 SWIFT ST, SUITE 200
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 864-3937
DR. KENNETH JOSEPH STAVISKY DMD
Dentist
99 SWIFT ST, SUITE 115
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 865-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Kenneth J. Stavisky, Ltd.'s NPI number?

The NPI number for Dr. Kenneth J. Stavisky, Ltd. is 1942384979. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Dr. Kenneth J. Stavisky, Ltd. located?

Dr. Kenneth J. Stavisky, Ltd. is located at 99 Swift St Suite 115, South Burlington, VT 05403. The listed phone number is (802) 865-1212.

What is Dr. Kenneth J. Stavisky, Ltd.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Dr. Kenneth J. Stavisky, Ltd. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.