NPI 1114229911

D Gary Wolford DDS PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Saint Clair Shores, MI

Practice location

Address: 22811 Mack Ave Suite L-1, Saint Clair Shores, MI 48080-2021
Phone: (586) 777-1331
Fax: (586) 777-2358

Authorised official

Name: Donald G Wolford
Title: Owner
Phone: (586) 777-1331

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901010985 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1114229911
Entity type: Organization
NPI issued: 30 Nov 2010
Record last updated: 27 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.