DR. KENNETH JOSEPH STAVISKY DMD
NPI 1962512038
Dentist in South Burlington, VT

Active since August 30, 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: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Joseph Stavisky Dmd NPPES

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

DR. KENNETH JOSEPH STAVISKY DMD (NPI 1962512038) is an individual dentist in South Burlington, Vermont, licensed in Vermont (0160001242) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1962512038
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH JOSEPH STAVISKYCredential: DMD
Location Address99 SWIFT ST, SUITE 115South Burlington, VT 05403-7324
Mailing Address99 Swift St, Suite 115South Burlington, VT 05403-7324 · (802) 865-1212 · Fax (802) 865-4666
Fax(802) 865-4666
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962512038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VT · 0160001242
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
99 SWIFT ST, South Burlington, VT 05403

Other Identifiers 1

Other867774Tricare United Concordia

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.

Ophthalmology
99 SWIFT ST, SUITE 200
SOUTH BURLINGTON, VT 05403
Ophthalmology
99 SWIFT ST, SUITE 200
SOUTH BURLINGTON, VT 05403
Dentist (Endodontics)
99 SWIFT ST, SUITE 115
SOUTH BURLINGTON, VT 05403

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 Kenneth Stavisky's NPI number?

The NPI number for Kenneth Stavisky is 1962512038. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kenneth Stavisky located?

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

What is Kenneth Stavisky's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kenneth Stavisky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.