Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Kenneth J. Stavisky, Ltd

Organization Endodontics · NPI 1942384979

Dr Kenneth J. Stavisky, Ltd is an Endodontics in South Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2006.

Licensed in
VT
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

99 Swift St Ste 115
South Burlington, VT 05403-7303
Phone: (802) 865-1212
Fax: (802) 865-4666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 01600001242 (VT)

Record details

NPI number1942384979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Philbrick — Office Manager · (802) 865-1212
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address99 Swift St, Suite 115, South Burlington, VT 05403-7303