Individual
KENNETH W STOFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-3352
(734) 936-1597
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-3352
(734) 936-1597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016390
MI
1223G0001X
General Practice Dentistry
2901016390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D163900
BCBS OF MI DENTAL
MI
Enumeration date
03/16/2007
Last updated
09/11/2025
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