Dr. Kenneth J. Stavisky, Ltd.
Endodontics Clinic
99 Swift St, Suite 115, South Burlington
Vermont, 05403-7303
802-865-1212 802-865-4666
Maps & DirectionsDr. Kenneth J. Stavisky, Ltd. is a Endodontics Clinic in South Burlington, Vermont. It is located at 99 Swift St, Suite 115, South Burlington, VT and its contact number is 802-865-1212. The authorized person for Dr. Kenneth J. Stavisky, Ltd. is Mrs. Martha Whitcomb Philbrick
who is Office Manager of the clinic and their contact number is 802-865-1212. The primary license number for Dr. Kenneth J. Stavisky, Ltd. is 01600001242 (Endodontics) in Vermont.
Dr. Kenneth J. Stavisky, Ltd. Clinic deals with 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.
Complete Clinic Profile:
Dr. Kenneth J. Stavisky, Ltd. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dr. Kenneth J. Stavisky, Ltd. |
| Specialization: | Endodontics |
| Clinic Address: | 99 Swift St, Suite 115, South Burlington,
Vermont, 05403-7303 |
| Phone: | 802-865-1212 |
| Fax: | 802-865-4666 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Martha Whitcomb Philbrick |
| Position: | Office Manager |
| Contact Number: | 802-865-1212 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dr. Kenneth J. Stavisky, Ltd. clinic are as mentioned below.
| NPI Number: | 1942384979 |
| NPI Enumeration Date: | 25 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth J. Stavisky, Ltd. are as mentioned below.
| Specialization | License Number | State | Status | |
| Endodontics | 01600001242 | Vermont | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1962512038 | Other | Vermont | Individual Npi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kenneth J. Stavisky, Ltd.
99 Swift St, Suite 115
South Burlington, Vermont |
| Zip: | 05403-7303 |
| Phone Number: | 802-865-1212 |
| Fax Number: | 802-865-4666 |
Patients can reach Dr. Kenneth J. Stavisky, Ltd. at
99 Swift St, Suite 115, South Burlington, Vermont or can
call to book an appointment on 802-865-1212.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.