IndividualActive
Sudheer Surpure, MD, DDS
NPI 1235216185 · Oral & Maxillofacial Surgery (D.M.D.) · Flagstaff, AZ
Provider details
- NPI number
- 1235216185
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- OMS 89 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
1600 W University Ave Ste 101
Flagstaff, AZ 86001-3154
Phone: (928) 247-6200
Fax: (702) 472-8575
Approximate (ZIP-level) locationGet directions
Mailing address
1600 W University Ave Ste 101
Flagstaff, AZ 86001-3154
Additional practice locations (1)
- 1600 W Sunset Rd Ste BHenderson, NV 89014-2655Phone: (702) 992-7907
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2023-10-13
- Certified
- 2023-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.