Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUDHEER J. SURPURE, MD, DDS
Active Sole ProprietorSUDHEER J. SURPURE, MD, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in FLAGSTAFF, Arizona. NPI 1235216185 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1235216185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.817956318281 yrs)
- Last Updated
- Oct 13, 2023
- Licenses
-
OMS 89 (CA)OMFS SPECIALTY 157 (OK)41157 (AZ)A92044 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 W UNIVERSITY AVE STE 101FLAGSTAFF, AZ, 860013154Browse AZ providers · Browse ZIP 86001
- Phone
- 9282476200
- Fax
- 7024728575
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.