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SUDHEER J SURPURE MD DDS INC NPI 1023609062


NPI Information

NPI: 1023609062
Provider Name: SUDHEER J SURPURE MD DDS INC

Doing Business As: GRAND CANYON ORAL AND FACIAL SURGERY

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
1600 W UNIVERSITY AVE STE 101
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 247-6200
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SUDHEER J SURPURE MD DDS INC is an oral maxillofacial surgery in Flagstaff, AZ. 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 1023609062. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Grand Canyon Oral And Facial Surgery.

The provider's business location address is:

1600 W UNIVERSITY AVE STE 101
FLAGSTAFF, AZ
ZIP 86001-154
Phone: (928) 247-6200

The provider's authorized official is Sudheer 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 2/2/2021 and was last updated on 4/8/2021.


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

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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