ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC - NPI 1295627115

Q: What is St. Clair Oral And Maxillofacial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

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About St. Clair Oral And Maxillofacial Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC (NPI 1295627115) is a healthcare organization registered as an oral and maxillofacial surgery in Richmond, Michigan and active in the NPI registry since July 2025. The organization lists Nicholas James Bournias, Owner/surgeon, as its authorized official.

NPPES Registry Identity

NPI1295627115

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

Location Address36610 HERITAGE DRRichmond, MI 48062-1937

Mailing Address36610 Heritage DrRichmond, MI 48062-1937 · (586) 727-6800

Phone(586) 727-6800

Fax(586) 727-6880

Organization SubpartNo

Authorized OfficialNicholas James BourniasOwner/surgeon · (248) 882-3195

Enumeration DateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1295627115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center specialized in 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.

36610 HERITAGE DR, Richmond, MI 48062

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Other Names 1

Doing Business AsSt. Clair Oral And Maxillofacial Surgery Pllc

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

Clinic/Center (Oral and Maxillofacial Surgery)

36610 HERITAGE DR
RICHMOND, MI 48062

Macomb County (586) 727-6800

ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

Oral & Maxillofacial Surgery

36610 HERITAGE DR
RICHMOND, MI 48062

Macomb County (586) 727-6880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Clair Oral And Maxillofacial Surgery PLLC's NPI number?

The NPI number for St. Clair Oral And Maxillofacial Surgery PLLC is 1295627115. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is St. Clair Oral And Maxillofacial Surgery PLLC located?

St. Clair Oral And Maxillofacial Surgery PLLC is located at 36610 Heritage Dr, Richmond, MI 48062. The listed phone number is (586) 727-6800.

What is St. Clair Oral And Maxillofacial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for St. Clair Oral And Maxillofacial Surgery PLLC was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.