OrganizationActive
Sudheer J. Surpure, MD, DDS, Inc.
NPI 1447857024 · Oral & Maxillofacial Surgery (D.M.D.) · Henderson, NV
Provider details
- NPI number
- 1447857024
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Sudheer Surpure, President
Practice location
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
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.