Dr. Kenneth Joseph Stavisky
DMD | Dentist
99 Swift St, Suite 115, South Burlington
Vermont, 05403-7324
802-865-1212 802-865-4666
Maps & DirectionsDr. Kenneth Joseph Stavisky is a South Burlington, Vermont based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Joseph Stavisky is
0160001242 for Dentistry in Vermont. Her current practice location is
99 Swift St, Suite 115, South Burlington. Patients can reach her at
802-865-1212.
Dr. Kenneth Joseph Stavisky is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth Joseph Stavisky speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Joseph Stavisky |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 99 Swift St, Suite 115, South Burlington,
Vermont, 05403-7324 |
| Phone: | 802-865-1212 |
| Fax: | 802-865-4666 |
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 are as mentioned below.
| NPI Number: | 1962512038 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Joseph Stavisky are as mentioned below.
| License Number | Specialization | State | Status | |
| 0160001242 | Dentistry | Vermont | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Joseph Stavisky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 867774 | Other | | TRICARE UNITED CONCORDIA |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 99 Swift St, Suite 115
South Burlington, Vermont |
| Zip: | 05403-7324 |
| Phone Number: | 802-865-1212 |
| Fax Number: | 802-865-4666 |
Patients can reach Dr. Kenneth Joseph Stavisky 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.