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

Dr. Kenneth Joseph Stavisky, DMD

Individual provider Dentist · NPI 1962512038

Dr. Kenneth Joseph Stavisky, DMD is a Dentist 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?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

99 Swift St Ste 115
South Burlington, VT 05403-7324
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

Dentist (primary) Taxonomy 122300000X · Licence 0160001242 (VT)

Record details

NPI number1962512038
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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