Whalio Doctors

NPI 1235216185

Sudheer J. Surpure, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Flagstaff, AZ

Practice location

Address
1600 W University Ave STE 101, Flagstaff, AZ 86001-3154
Phone
(928) 247-6200
Fax
(702) 472-8575

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence A92044 (CA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence OMS 89 (CA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence OMFS SPECIALTY 157 (OK)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 41157 (AZ)

Registry record

NPI
1235216185
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2006
Record last updated
13 Oct 2023

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.