Dr. Kenneth J. Stavisky, Ltd. in South Burlington - Endodontics
Dr. Kenneth J. Stavisky, Ltd. - NPI 1942384979
Dr. Kenneth J. Stavisky, Ltd. is a Endodontics in South Burlington, Vermont. Dr. Kenneth J. Stavisky, Ltd. practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Dr. Kenneth J. Stavisky, Ltd. is 1942384979. The last update date is 2020-08-22.
Dr. Kenneth J. Stavisky, Ltd.'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 Dr. Kenneth J. Stavisky, Ltd. is 99 Swift St, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Kenneth J. Stavisky, Ltd. |
|---|---|
| Address | 99 Swift St, South Burlington, Vermont |
| Phone Number | 8028651212 |
| Fax Number | 8028654666 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Philbrick Whitcomb Martha |
| Telephone Number | 8028651212 |
NPI Number Detail
| NPI Number | 1942384979 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 99 Swift St |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54037303 |
| Phone Number | 8028651212 |
| Fax Number | 8028654666 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 1600001242 |
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Definition: 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 eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1962512038 | VT | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Dr. Kenneth J. Stavisky, Ltd. by the Centers for Medicare & Medicaid Services?
The Dr. Kenneth J. Stavisky, Ltd. has been assigned the NPI (National Provider Identifier) 1942384979. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dr. Kenneth J. Stavisky, Ltd. is located?
The Dr. Kenneth J. Stavisky, Ltd. is situated at the following address: 99 Swift St, South Burlington, VT, 54037303.
What is Dr. Kenneth J. Stavisky, Ltd.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dr. Kenneth J. Stavisky, Ltd. is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did the Dr. Kenneth J. Stavisky, Ltd. receive its 1942384979 assignment from the Centers for Medicare & Medicaid Services?
The Dr. Kenneth J. Stavisky, Ltd. was assigned its 1942384979 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information pertaining to Dr. Kenneth J. Stavisky, Ltd. most recently updated or revised?
The details related to Dr. Kenneth J. Stavisky, Ltd., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1982607784
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