Wolford, Donald Gary

Wolford, Donald Gary is an sole proprietor health care provider with primary practice located at 22811 Mack Ave L1, St Clair Shores MI 48080-2021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Wolford, Donald Gary can be contacted via phone (586) 777-1331.

Contact Information

Primary practice address
22811 Mack Ave L1 St Clair Shores MI 48080-2021
Phone: (586) 777-1331
Fax: (586) 777-2358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901010985 Michigan

Profile Details

NPI number 1659355063
LBN Legal business name Wolford, Donald Gary
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jul 13th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659355063 NPPES
Michigan Other 9755060680 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 102991246 BLUE CROSS BLUE SHIELD

Popular Providers