Organization
ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Other names
St. Clair Oral and Maxillofacial Surgery PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAMES BOURNIAS DDS (OWNER/SURGEON)
(248) 882-3195
Entity
Organization
Contact information
Practice address
36610 HERITAGE DR, RICHMOND, MI 48062-1937
(586) 727-6800
(586) 727-6880
Mailing address
36610 HERITAGE DR, RICHMOND, MI 48062-1937
(586) 727-6800
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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