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Nicholas James Bournias, DDS
Oral and Maxillofacial Surgery (Dentist) in Clinton Township, Michigan
NPI 1144202045

Nicholas James Bournias is a Oral and Maxillofacial Surgery (Dentist) based in Grosse Pointe Shores, MI and is specialized in Oral and Maxillofacial Surgery. Nicholas James Bournias practices in Clinton Township, MI and has the professional credentials of DDS. The NPI Number for Nicholas James Bournias is 1144202045 and holds a License No. 2901015573 (Michigan).

The current practice location address for Nicholas James Bournias is 43900 Garfield Rd Ste 103, Clinton Township, MI and can be reached out via phone at 586-228-9070.

Location: 43900 Garfield Rd Ste 103, Clinton Township, MI, 48236-2642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144202045
Provider Name
Nicholas James Bournias
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
43900 Garfield Rd Ste 103, Clinton Township, MI, 48236-2642
Phone Number
586-228-9070
Fax Number
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3203473 05 MI
NB015573 01 MI LICENSE NUMBER
3159052 05 MI
970F31085 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
43900 Garfield Rd Ste 103
City
Clinton Township
State
Michigan
Zip
48038-1137
Phone Number
586-228-9070
Fax Number
person
Provider Business Mailing Address Details
Address
43900 Garfield Rd Ste 103
City
Clinton Township
State
Michigan
Zip
48038-1137
Phone Number
586-228-9070
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901015573 (Michigan)
Definition
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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