Sudheer J. Surpure, MD, DDS
Sudheer J. Surpure, MD, DDS is a Maxillofacial Surgery in Flagstaff, Arizona. Graduated from Vanderbilt University School of Medicine in 2002, 24 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California and Oklahoma.
- Years since qualifying
- 24
- Trained at
- Vanderbilt University School of Medicine
- Licensed in
- AZ, CA, OK
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
Practice location Address checks out
1600 W University Ave Ste 101Flagstaff, AZ 86001-3154
Phone: (928) 247-6200
Fax: (702) 472-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 — (702) 992-7907
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence A92044 (CA) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence OMS 89 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence OMFS SPECIALTY 157 (OK) |
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence 41157 (AZ) |
Record details
| NPI number | 1235216185 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , DDS |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2006 |
| Last updated in NPPES | October 13, 2023 |
| Certification date | October 13, 2023 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2002 (24 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Flagstaff
-
Todd Alan Dingman, DDS, MD
77 W Forest Ave Ste 107, Flagstaff, AZ 86001-1482 · (928) 773-2530