What is Kenneth Stavisky's NPI number?

Kenneth Stavisky's National Provider Identifier (NPI) is 1962512038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Stavisky's specialty?

Kenneth Stavisky is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Kenneth Stavisky located?

Kenneth Stavisky's practice location on file with NPPES is 99 Swift St, South Burlington, VT 05403-7324.

What is Kenneth Stavisky's phone number?

The practice phone number listed in the NPPES registry for Kenneth Stavisky is (802) 865-1212.

Is Kenneth Stavisky's NPI active?

Yes — Kenneth Stavisky's NPI (1962512038) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Kenneth Stavisky, DMD

NPI 1962512038 · Dentist · South Burlington, VT

Kenneth Stavisky, DMD is a Dentist provider in South Burlington, VT (NPI 1962512038).

Provider details

NPI number: 1962512038
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Female
Sole proprietor: No
License: 0160001242 (VT)

Specialties & taxonomies

DentistPrimary122300000XLicense 0160001242 (VT)
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 05403-7324

Phone: (802) 865-1212

Fax: (802) 865-4666

Street-level locationGet directions

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Mailing address