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D Gary Wolford Dds Pc
Oral & Maxillofacial Surgery (D.M.D.) in Saint Clair Shores, Michigan
NPI 1114229911

D Gary Wolford Dds Pc is a Oral & Maxillofacial Surgery (D.M.D.) based in Saint Clair Shores, MI. D Gary Wolford Dds Pc practices in Saint Clair Shores, MI. The NPI Number for D Gary Wolford Dds Pc is 1114229911 and holds a License No. 2901010985 (Michigan).

The current practice location address for D Gary Wolford Dds Pc is 22811 Mack Ave, Saint Clair Shores, MI and can be reached out via phone at 586-777-1331 and via fax at 586-777-2358.

Location: 22811 Mack Ave, Saint Clair Shores, MI, 48080-2021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114229911
Provider Name
D Gary Wolford Dds Pc
Credential
Provider Entity Type
Organization
Address
22811 Mack Ave, Saint Clair Shores, MI, 48080-2021
Phone Number
586-777-1331
Fax Number
586-777-2358
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9755060680 01 MI BLUE CROSS BLUE SHIELD
102991246 05 MI
institution
Provider Business Practice Location Address Details
Address
22811 Mack Ave
City
Saint Clair Shores
State
Michigan
Zip
48080-2021
Phone Number
586-777-1331
Fax Number
586-777-2358
person
Provider Business Mailing Address Details
Address
22811 Mack Ave
City
Saint Clair Shores
State
Michigan
Zip
48080-2021
Phone Number
586-777-1331
Fax Number
586-777-2358
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
2901010985 (Michigan)
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 anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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