Bournias, Nicholas James

Bournias, Nicholas James is an individual health care provider with primary practice located at 43900 Garfield Rd Ste 103 , Clinton Township MI 48038-1137. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bournias, Nicholas James can be contacted via phone (586) 228-9070.

Contact Information

Primary practice address
43900 Garfield Rd Ste 103 Clinton Township MI 48038-1137
Phone: (586) 228-9070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901015573 Michigan

Profile Details

NPI number 1144202045
LBN Legal business name Bournias, Nicholas James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144202045 NPPES
Michigan MEDICAID 3203473
Michigan Other NB015573
Michigan MEDICAID 3159052
Michigan Other 970F31085

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