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

Dr. Vikram Ganupur

Individual provider General Practice Dentistry · NPI 1104104512

Dr. Vikram Ganupur is a General Practice Dentistry in Clovis, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2011
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Practice location Address checks out

4017 N Prince St
Clovis, NM 88101-9705
Phone: (847) 915-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD3568 (NM)

Record details

NPI number1104104512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 2, 2011
Last updated in NPPESAugust 2, 2011
Mailing address2610 Weddington Rdg Ne, Marietta, GA 30068-2279

Other providers in Clovis