OrganizationActive
D Gary Wolford DDS PC
NPI 1114229911 · Oral & Maxillofacial Surgery (D.M.D.) · Saint Clair Shores, MI
Provider details
- NPI number
- 1114229911
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Wolford, Owner(586) 777-1331
- License
- 2901010985 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
22811 Mack Ave
Suite L-1
Saint Clair Shores, MI 48080-2021
Phone: (586) 777-1331
Fax: (586) 777-2358
Approximate (ZIP-level) locationGet directions
Mailing address
22811 Mack Ave
Saint Clair Shores, MI 48080-2021
Registry dates
- Enumerated
- 2010-11-30
- Last updated
- 2015-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.