NPI 1447857024

Sudheer J. Surpure, MD, DDS, INC.

Organisation Oral & Maxillofacial Surgery (D.M.D.) Henderson, NV

Practice location

Address: Grand Canyon Oral and Facial Surgery 1600 W. Sunset Road, Suite B, Henderson, NV 89014
Phone: (615) 480-5534
Mailing address: 1620 E Castle Hills Dr, Flagstaff, AZ 86005-2725

Authorised official

Name: Sudheer J. Surpure
Title: President
Phone: (615) 480-5534

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Nevada →

Registry record

NPI: 1447857024
Entity type: Organization
NPI issued: 6 Oct 2020
Record last updated: 6 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.