OrganizationActive
Dr. Kenneth J. Stavisky, Ltd.
NPI 1942384979 · Endodontics · South Burlington, VT
Dr. Kenneth J. Stavisky, Ltd. is a Endodontics organization in South Burlington, VT (NPI 1942384979).
Provider details
- NPI number
- 1942384979
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Martha Philbrick, Office Manager(802) 865-1212
- License
- 01600001242 (VT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
99 Swift St
Suite 115
South Burlington, VT 05403-7303
Phone: (802) 865-1212
Fax: (802) 865-4666
Street-level locationGet directions
Mailing address
99 Swift St
South Burlington, VT 05403-7303
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dr. Kenneth J. Stavisky, Ltd.'s NPI number?
- Dr. Kenneth J. Stavisky, Ltd.'s National Provider Identifier (NPI) is 1942384979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Kenneth J. Stavisky, Ltd.?
- Dr. Kenneth J. Stavisky, Ltd. is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Dr. Kenneth J. Stavisky, Ltd. located?
- Dr. Kenneth J. Stavisky, Ltd.'s practice location on file with NPPES is 99 Swift St, South Burlington, VT 05403-7303.
- What is Dr. Kenneth J. Stavisky, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Dr. Kenneth J. Stavisky, Ltd. is (802) 865-1212.
- Who is the authorized official for Dr. Kenneth J. Stavisky, Ltd.?
- The authorized official listed on Dr. Kenneth J. Stavisky, Ltd.'s NPPES record is Martha Philbrick, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Kenneth J. Stavisky, Ltd.'s NPI active?
- Yes — Dr. Kenneth J. Stavisky, Ltd.'s NPI (1942384979) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.