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Contact Information

DR. KENNETH J. STAVISKY, LTD.
99 SWIFT ST
SUITE 115
SOUTH BURLINGTON, VT05403-7303
 Phone: 802-865-1212
 Fax: 802-865-4666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DR KENNETH J STAVISKY LTD · (Female)

NPI # 1942384979
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 01600001242
  • VT Other 1962512038 INDIVIDUAL NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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