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
Fax: (586) 777-2358
Website:
Authorized official contact:
Name: Wolford, Donald G Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114229911 NPPES
Michigan Other 9755060680 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 102991246 BLUE CROSS BLUE SHIELD

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