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Michigan Oms P C

Oral and Maxillofacial Surgery (Dentist) in West Bloomfield, MI · enumerated 2006 · authorized official Nicholas Bournias, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801906458

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Registry record

Entity type Organization (Type 2)
Legal business name Michigan Oms P C
Practice address 6022 W Maple Rd Ste 405, West Bloomfield, MI, 48322
Fax (248) 855-0571
Enumeration date Aug 30, 2006
Last updated in NPPES Jan 17, 2024

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Nicholas Bournias
Title President

Other identifiers

Identifier Type State Issuer
2901020355 Other MI STATE LICENSE NUMBER
3159052 Medicaid MI -
4067429 Medicaid MI -
2990516 Medicaid MI -
2990561 Medicaid MI -
2773480 Medicaid MI -
970F31085 Other MI GROUP NUMBER BCBSM
NB015573 Other MI STATE LICENSE NUMBER
1021382 Medicaid MI -
3203473 Medicaid MI -
2990552 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Michigan Oms P C located?
The practice location on file with NPPES is in West Bloomfield, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-01-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-17.