Dr. Kenneth J. Stavisky, Ltd.

LBN: Dr. Kenneth J. Stavisky, Ltd.
Dr. Kenneth J. Stavisky, Ltd. is an health care organization with primary practice located at 99 Swift St Suite 115, South Burlington VT 05403-7303. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Dr. Kenneth J. Stavisky, Ltd. can be contacted via phone (802) 865-1212, or through Philbrick, Martha Whitcomb via phone (802) 865-1212.

Contact Information

Primary practice address
99 Swift St Suite 115 South Burlington VT 05403-7303
Fax: (802) 865-4666
Website:
Authorized official contact:
Name: Philbrick, Martha Whitcomb

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 01600001242 Vermont

Profile Details

NPI number 1942384979
LBN Legal business name Dr. Kenneth J. Stavisky, Ltd.
DBA Doing business as
Authorized official Philbrick, Martha Whitcomb
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942384979 NPPES
Vermont Other 1962512038 INDIVIDUAL NPI

Popular Providers