OrganizationActive
Sudheer J Surpure MD DDS Inc
NPI 1023609062 · Oral & Maxillofacial Surgery (D.M.D.) · Flagstaff, AZ
Provider details
- NPI number
- 1023609062
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Sudheer Surpure, President
Practice location
1600 W University Ave Ste 101
Flagstaff, AZ 86001-3154
Phone: (928) 247-6200
Mailing address
1600 W Sunset Rd Ste B
Henderson, NV 89014-2655
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.