Donald Gary Wolford in St Clair Shores - Oral & Maxillofacial Surgery
Donald Gary Wolford - NPI 1659355063
Donald Gary Wolford is a Oral & Maxillofacial Surgery in St Clair Shores, Michigan. Donald Gary Wolford practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Donald Gary Wolford is 1659355063. The last update date is 2010-07-13.
Donald Gary Wolford's current location address is 22811 Mack Ave, St Clair Shores, Michigan. You can contact this provider via phone number 5867771331 and fax number 5867772358. The mailing address for Donald Gary Wolford is 22811 Mack Ave, St Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Gary Wolford |
|---|---|
| Address | 22811 Mack Ave, St Clair Shores, Michigan |
| Phone Number | 5867771331 |
| Fax Number | 5867772358 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1659355063 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2010-07-13 |
Provider Mailing Address Detail
| Address | 22811 Mack Ave |
|---|---|
| City | St Clair Shores |
| State | Michigan (MI) |
| Post Code | 480802021 |
| Phone Number | 5867771331 |
| Fax Number | 5867772358 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 2901010985 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9755060680 | MI | BLUE CROSS BLUE SHIELD | |
| 102991246 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Donald Gary Wolford?
The Donald Gary Wolford has been issued the NPI (National Provider Identifier) 1659355063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Donald Gary Wolford?
The Donald Gary Wolford is situated at 22811 Mack Ave, in the city of St Clair Shores, state of MI, with the zip code 480802021.
What is Donald Gary Wolford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Donald Gary Wolford is Oral & Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 204E00000X.
On what date did Donald Gary Wolford receive its 1659355063 assignment from the Centers for Medicare & Medicaid Services?
The Donald Gary Wolford was assigned its 1659355063 on 2005-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Donald Gary Wolford, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Donald Gary Wolford, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC