Healthcare Provider Details

I. General information

NPI: 1780797191
Provider Name (Legal Business Name): WARREN MICHAEL STOFFER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD
PITTSBURGH PA
15240-1005
US

IV. Provider business mailing address

1010 DELAFIELD ROAD
PITTSBURGH PA
15215
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax:
Mailing address:
  • Phone: 412-688-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDS016853L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: