ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC; NPI #1710879697

Contact Information

ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

36610 HERITAGE DR
RICHMOND, MI 48062-1937

Phone: 586-727-6880
Fax: 586-727-6880
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

NPI Number	`1710879697`
LBN Legal business name	ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
Authorized official	NICHOLAS BOURNIAS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/16/2025
Last updated	07/16/2025 - About 11 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery

NPI Profile & details for ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

Reviews for ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC