Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Clair Oral and Maxillofacial Surgery PLLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1295627115

St Clair Oral and Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery Clinic/Center in Richmond, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36610 Heritage Dr
Richmond, MI 48062-1937
Phone: (586) 727-6800
Fax: (586) 727-6880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1295627115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Bournias — Owner/Surgeon · (248) 882-3195
Other names St. Clair Oral And Maxillofacial Surgery Pllc
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address36610 Heritage Dr, Richmond, MI 48062-1937

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