Kenneth Stavisky, DMD

NPI 1962512038 · on the registry since 2006

Practice

Address: 99 Swift St
Suite 115
South Burlington, VT 05403
Phone: (802) 865-1212
Fax: (802) 865-4666
Organisation at this address: Retina Center Of Vermont, Inc
Dr. Kenneth J. Stavisky, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: VT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont