National Provider Identifier Database

ST CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
36610 HERITAGE DR
RICHMOND, MI48062-1937
Phone: 586-727-6800
Fax: 586-727-6880
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

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

NPI Number 1295627115
Legal business name
LBN
ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
Authorized official NICHOLAS BOURNIAS - (OWNER/SURGEON)
Entity Organization
Organization subpart No
Enumeration date 07/16/2025
Last updated 07/16/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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