St. Clair Oral and Maxillofacial Surgery Pllc

NPI #1295627115 in Richmond, Michigan

Provider Information

NPI Number
1295627115
Entity Type
Organization
Organization Name
St. Clair Oral and Maxillofacial Surgery Pllc
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Jul 16, 2025
Last Updated
Jul 16, 2025

Practice Location

Address
36610 HERITAGE DR
ZIP Code
48062-1937
Phone
(586) 727-6800

Authorized Official

Name
DR. NICHOLAS JAMES BOURNIAS, DDS
Title
OWNER/SURGEON
Phone
(248) 882-3195

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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