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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.

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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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-10-27. Verify at npiregistry.cms.hhs.gov.
Where is D Gary Wolford DDS PC located?
The practice location on file with NPPES is in Saint Clair Shores, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-10-27.