Dr. Kenneth J. Stavisky, Ltd.
NPI 1942384979ActiveOrganization· Dentist, Endodontics· South Burlington, VT
Dentist, Endodontics in South Burlington, Vermont, registered in NPPES in October 2006. The authorized official on file is Martha Whitcomb Philbrick, Office Manager.
Overview
| NPI | 1942384979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 01600001242 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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