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SUDHEER J. SURPURE MD DDS INC. NPI 1447857024


NPI Information

NPI: 1447857024
Provider Name: SUDHEER J. SURPURE, MD, DDS, INC.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
GRAND CANYON ORAL AND FACIAL SURGERY
1600 W. SUNSET ROAD, SUITE B
HENDERSON, NV
ZIP 89014
Phone: (615) 480-5534
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SUDHEER J. SURPURE, MD, DDS, INC. is an oral maxillofacial surgery in Henderson, NV. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. SUDHEER J. SURPURE, MD, DDS, INC. NPI is 1447857024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

GRAND CANYON ORAL AND FACIAL SURGERY
1600 W. SUNSET ROAD, SUITE B
HENDERSON, NV
ZIP 89014
Phone: (615) 480-5534

The provider's authorized official is Sudheer J. Surpure .
The authorized official title is President and has the following contact phone number (615) 480-5534.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11578942488OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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