Dr. 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.