IndividualActive
Donald Wolford, DDS
NPI 1659355063 · Oral & Maxillofacial Surgery (D.M.D.) · St Clair Shores, MI
Provider details
- NPI number
- 1659355063
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901010985 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
22811 Mack Ave
L1
St Clair Shores, MI 48080-2021
Phone: (586) 777-1331
Fax: (586) 777-2358
Approximate (ZIP-level) locationGet directions
Mailing address
22811 Mack Ave
St Clair Shores, MI 48080-2021
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2010-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.