Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH J. STAVISKY, LTD.
Active OrganizationDR. KENNETH J. STAVISKY, LTD. is a Endodontics organization located in SOUTH BURLINGTON, Vermont. NPI 1942384979 is currently active in the NPPES registry. Verify at CMS.
Endodontics · SOUTH BURLINGTON, VT
Registration Details
- NPI Number
- 1942384979
- Provider Type
- Organization
- NPI Issued
- Oct 25, 2006 (19.790108207606 yrs)
- Last Updated
- Aug 22, 2020
- License
-
01600001242 (VT)
Practice Information
- Address
-
99 SWIFT STSUITE 115SOUTH BURLINGTON, VT, 054037303Browse VT providers · Browse ZIP 05403
- Phone
- 8028651212
- Fax
- 8028654666
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.