St. Clair Oral and Maxillofacial Surgery PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC

Doing business as

St. Clair OMS, PLLC
St. Clair Oral and Maxillofacial Surgery PLLC

Practice address

36610 Heritage Dr
Richmond, MI 48062-1937

Phone

(586) 727-6880

Fax

(586) 727-6880

NPI assigned

Jul 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicholas James Bournias, DDS

Title

Owner

Phone

(586) 727-6800

Specialties & licenses 2

Addresses

Other names 2

• St. Clair OMS, PLLC Doing business as
• St. Clair Oral and Maxillofacial Surgery PLLC Doing business as

Tax ID family

St Clair Oms PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• St. Clair Oral and Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Richmond, MI
  • NPI 1295627115
  NPD tax ID
• St. Clair Oral and Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Richmond, MI
  • NPI 1518859446
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1710879697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S DEEPLANDS RD",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482362642",
            "telephone_number": "248-882-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36610 HERITAGE DR",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621937",
            "telephone_number": "586-727-6880",
            "fax_number": "586-727-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR ORAL AND MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "BOURNIAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-727-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Clair OMS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Clair Oral and Maxillofacial Surgery PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dominic Dewayne Smith
• Eric A Snyder, PTA
• Corey Soper, LMSW, CAADC, CCS
• St. Clair Oral and Maxillofacial Surgery PLLC
• St. Clair Oral and Maxillofacial Surgery PLLC
• Georgia Stachura, OTR
• Alicia Marie Starkey
• Scott Michael Steenbergh, DP-C
• Abby Elaine Stewart
• Tammy Michelle Stinson

• Oral & Maxillofacial Surgery (D.M.D.) in Richmond, MI
• Providers in Richmond, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.