D Gary Wolford Dds Pc
LBN: D Gary Wolford Dds Pc
D Gary Wolford Dds Pc is an health care organization with primary practice located at 22811 Mack Ave Suite L-1, Saint Clair Shores MI 48080-2021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
D Gary Wolford Dds Pc can be contacted via phone (586) 777-1331, or through Wolford, Donald G via phone (586) 777-1331.
Contact Information
Primary practice address
22811 Mack Ave Suite L-1
Saint Clair Shores MI 48080-2021
Phone: (586) 777-1331
Fax: (586) 777-2358
Website:
Authorized official contact:
Name: Wolford, Donald G Doctor of Dental Surgery (DDS)
Phone: (586) 777-1331
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 2901010985 | Michigan |
Profile Details
NPI number | 1114229911 |
---|---|
LBN Legal business name | D Gary Wolford Dds Pc |
DBA Doing business as | |
Authorized official | Wolford, Donald G Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 30th, 2010 |
Last updated | Oct 27th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114229911 | NPPES |
Michigan | Other | 9755060680 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 102991246 | BLUE CROSS BLUE SHIELD |
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