Nicholas James Bournias in Clinton Township - Oral And Maxillofacial Surgery
Nicholas James Bournias - NPI 1144202045
Nicholas James Bournias is a Oral And Maxillofacial Surgery in Clinton Township, Michigan. Nicholas James Bournias practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Nicholas James Bournias is 1144202045. The last update date is 2023-12-06.
Nicholas James Bournias's current location address is 43900 Garfield Rd Ste 103, Clinton Township, Michigan. You can contact this provider via phone number 5862289070. The mailing address for Nicholas James Bournias is 43900 Garfield Rd Ste 103, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicholas James Bournias |
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Address | 43900 Garfield Rd Ste 103, Clinton Township, Michigan |
Phone Number | 5862289070 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1144202045 |
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Provider Enumeration Date | 2005-11-16 |
Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
Address | 43900 Garfield Rd Ste 103 |
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City | Clinton Township |
State | Michigan (MI) |
Post Code | 480381137 |
Phone Number | 5862289070 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 2901015573 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3203473 | MI | -- | |
NB015573 | MI | LICENSE NUMBER | |
3159052 | MI | -- | |
970F31085 | MI | BCBSM |
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What is the Nicholas James Bournias's unique identification number?
The Nicholas James Bournias has been assigned the NPI (National Provider Identifier) Number 1144202045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Nicholas James Bournias?
The Nicholas James Bournias is physically situated at 43900 Garfield Rd Ste 103, in the city of Clinton Township, state of MI, with the postal code 480381137.
What is Nicholas James Bournias's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nicholas James Bournias is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144202045 to Nicholas James Bournias?
The Nicholas James Bournias received its 1144202045 assignment from the Centers for Medicare & Medicaid Services on 2005-11-16.
As of what date were the Nicholas James Bournias's details last updated?
The information pertaining to the Nicholas James Bournias, including its address, specialty, and other details, was most recently updated on 2023-12-06.