Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sudheer J Surpure MD DDS Inc

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1023609062

Sudheer J Surpure MD DDS Inc is an Oral & Maxillofacial Surgery (D.M.D.) in Flagstaff, Arizona. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 W University Ave Ste 101
Flagstaff, AZ 86001-3154
Phone: (928) 247-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1600 W University Ave Ste 101, Flagstaff, AZ 86001-3154 — (928) 247-6200
  • 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 — (615) 480-5534

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1023609062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sudheer Surpure — President · (615) 480-5534
Other names Grand Canyon Oral And Facial Surgery; Grand Canyon Oral And Facial Surgery
NPI enumeratedFebruary 2, 2021
Last updated in NPPESApril 8, 2021
Certification dateMarch 16, 2021
Mailing address1600 W Sunset Rd Ste B, Henderson, NV 89014-2655

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