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 & Maxillofacial Surgery (D.M.D.) · NPI 1710879697

St Clair Oral and Maxillofacial Surgery PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Richmond, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

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

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1710879697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Bournias — Owner · (586) 727-6800
Other names St. Clair Oms, Pllc; St. Clair Oral And Maxillofacial Surgery Pllc
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 1, 2025
Mailing address70 S Deeplands Rd, Grosse Pointe Shores, MI 48236-2642