DR. KENNETH STAVISKY, DMD

Dentist

Active Individual
NPI: 1962512038

Practice Address

99 SWIFT ST
SUITE 115
South Burlington, VT 05403

Phone: (802) 865-1212

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 0160001242 (VT)

Frequently Asked Questions

NPI 1962512038 is the National Provider Identifier for DR. KENNETH STAVISKY, DMD, a Dentist provider located in South Burlington, VT. This NPI was enumerated on August 30, 2006.
DR. KENNETH STAVISKY, DMD practices at 99 SWIFT ST, SUITE 115, South Burlington, VT 05403.

Quick Facts

NPI
1962512038
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Jul 8, 2007

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