ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
NPI 1710879697
Oral & Maxillofacial Surgery in Richmond, MI
NPI Status: Active since July 16, 2025
Contact Information
36610 HERITAGE DR
RICHMOND, MI
ZIP 48062
Phone: (586) 727-6880
Fax: (586) 727-6880
- Organization
- Oral & Maxillofacial Surgery
About ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
This page provides the complete NPI Profile along with additional information for St. Clair Oral And Maxillofacial Surgery Pllc, a provider established in Richmond, Michigan operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1710879697 assigned on July 2025. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Nicholas James Bournias Dds (Owner)
- NPI
- 1710879697
- Provider Name
- ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
- Entity Type
- Organization
- Location Address
- 36610 HERITAGE DR RICHMOND, MI 48062
- Location Phone
- (586) 727-6880
- Location Fax
- (586) 727-6880
- Mailing Address
- 70 S DEEPLANDS RD GROSSE POINTE SHORES, MI 48236
- Mailing Phone
- (248) 882-3195
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2025
- Last Update Date
- 07-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QS0112X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1710879697, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
RICHMOND, MI 48062
RICHMOND, MI 48062
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710879697, enumerated as an "organization" on July 16, 2025.
The provider is located at 36610 HERITAGE DR RICHMOND, MI 48062 and the phone number is (586) 727-6880.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.