OrganizationActive
St. Clair Oral and Maxillofacial Surgery PLLC
NPI 1710879697 · Oral & Maxillofacial Surgery (D.M.D.) · Richmond, MI
Provider details
- NPI number
- 1710879697
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Nicholas Bournias, Owner
Practice location
36610 Heritage Dr
Richmond, MI 48062-1937
Phone: (586) 727-6880
Fax: (586) 727-6880
Mailing address
70 S Deeplands Rd
Grosse Pointe Shores, MI 48236-2642
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.