Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS JAMES BOURNIAS, DDS
ActiveNICHOLAS JAMES BOURNIAS, DDS is a Oral & Maxillofacial Surgery healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1144202045 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1144202045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2005 (20.768794985268 yrs)
- Last Updated
- Dec 6, 2023
- License
-
2901015573 (MI)
Practice Information
- Address
-
43900 GARFIELD RD STE 103CLINTON TOWNSHIP, MI, 480381137Browse MI providers · Browse ZIP 48038
- Phone
- 5862289070
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.