Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.