D Gary Wolford DDS PC
D Gary Wolford DDS PC is a healthcare organization registered as Oral & Maxillofacial Surgery (D.M.D.) in Saint Clair Shores, MI, holding Type 2 (organization) NPI 1114229911 since 2010. The authorized official on file is Donald Wolford, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114229911 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | D Gary Wolford DDS PC |
| Practice address | 22811 MACK AVE, SUITE L-1, Saint Clair Shores, MI, 48080 |
| Phone | 5867771331 |
| Fax | 5867772358 |
| Enumeration date | 2010-11-30 |
| Last updated in NPPES | 2015-10-27 |
Authorized official
| Name | Donald Wolford |
|---|---|
| Title | Owner |
| Phone | 5867771331 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | Primary | 2901010985 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9755060680 | Other | MI | BLUE CROSS BLUE SHIELD |
| 102991246 | Medicaid | MI | — |
Copy-ready billing details
Provider: D Gary Wolford DDS PC NPI: 1114229911 Taxonomy: 204E00000X (Oral & Maxillofacial Surgery (D.M.D.)) Address: 22811 MACK AVE, SUITE L-1, Saint Clair Shores, MI, 48080
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659355063 | Donald Wolford | Individual | Oral & Maxillofacial Surgery (D.M.D.) | St Clair Shores, MI |
| 1457545527 | Linda Lawrence | Individual | Psychologist | Saint Clair Shores, MI |
| 1467692319 | Valerie Long | Individual | Clinical Psychologist | Saint Clair Shores, MI |
| 1144456633 | John A Ryan Phd PC | Organization | Clinical Psychologist | Saint Clair Shores, MI |
Verify this record
Cross-check NPI 1114229911 against the authoritative CMS record: view D Gary Wolford DDS PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is D Gary Wolford DDS PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-10-27.