Individual provider · Type 1 NPI

Nicholas James Bournias, DDS

Oral and Maxillofacial Surgery (Dentist) · Clinton Township, MI

NPI number 1144202045 Active

Practice location

43900 Garfield Rd Ste 103
Clinton Township, MI 48038-1137

Mailing address

70 S Deeplands Rd
Grosse Pointe Shores, MI 48236-2642

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901015573 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1144202045

Nicholas James Bournias, DDS's National Provider Identifier is 1144202045, issued on Nov 16, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clinton Township, MI. The record was last updated on Dec 6, 2023.