Kenneth Joseph Stavisky in South Burlington - Dentist
Kenneth Joseph Stavisky - NPI 1962512038
Kenneth Joseph Stavisky is a Dentist in South Burlington, Vermont. Kenneth Joseph Stavisky practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Joseph Stavisky is 1962512038. The last update date is 2007-07-08.
Kenneth Joseph Stavisky's current location address is 99 Swift St, South Burlington, Vermont. You can contact this provider via phone number 8028651212 and fax number 8028654666. The mailing address for Kenneth Joseph Stavisky is 99 Swift St, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Joseph Stavisky |
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Address | 99 Swift St, South Burlington, Vermont |
Phone Number | 8028651212 |
Fax Number | 8028654666 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1962512038 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 99 Swift St |
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City | South Burlington |
State | Vermont (VT) |
Post Code | 54037324 |
Phone Number | 8028651212 |
Fax Number | 8028654666 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 160001242 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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867774 | TRICARE UNITED CONCORDIA |
Post Comment/ Review Below
What is the Kenneth Joseph Stavisky's unique identification number?
The Kenneth Joseph Stavisky has been assigned the NPI (National Provider Identifier) Number 1962512038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kenneth Joseph Stavisky's facilities are geographically located?
The facilities of Kenneth Joseph Stavisky are physically situated at the following location: 99 Swift St, South Burlington, VT, 54037324.
What is the area of specialization for Kenneth Joseph Stavisky, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Joseph Stavisky is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Kenneth Joseph Stavisky receive the assignment of its 1962512038 from the Centers for Medicare & Medicaid Services?
The Kenneth Joseph Stavisky was issued its 1962512038 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Kenneth Joseph Stavisky last refreshed?
The information related to the Kenneth Joseph Stavisky, including its address, specialty, and other relevant details, was last updated on 2007-07-08.