Michael R Wolfgram, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015777 Issued in MI

Practice address

11499 Highland Rd
Hartland, MI 48353-2709

Phone

(810) 632-5533

Fax

(810) 632-7556

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael Wolfgram DDS PC

  • Dental Clinic/Center
  • Grand Blanc, MI
  • NPI 1144063298
  NPD Authorized official
• HSM Dental, P.L.L.C.

  • Dental Clinic/Center
  • Hartland, MI
  • NPI 1215173299
  NPD (past)
• Kenneth F McDaniel DDS PC

  • General Practice Dentistry
  • Hartland, MI
  • NPI 1164489993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1891751491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391846",
            "telephone_number": "810-695-2580",
            "fax_number": "810-695-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11499 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532709",
            "telephone_number": "810-632-5533",
            "fax_number": "810-632-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGRAM",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Maria Welbon, MA
• Amanda Lee Wellman, DPT
• Wellness 4 Life Chiropractic PLLC
• Deshari Whiteside
• Annette Renee Wilder
• Austin Wolford
• Kelly Kuzniarek Woycheshin
• Mark Wright
• Jordan Young
• Brianna Rene Zabkiewicz

• General Practice Dentistry in Hartland, MI
• Providers in Hartland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.