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Contact Information

SUDHEER J. SURPURE, MD, DDS, INC.
GRAND CANYON ORAL AND FACIAL SURGERY
1600 W. SUNSET ROAD, SUITE B
HENDERSON, NV89014
 Phone: 615-480-5534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SUDHEER J SURPURE MD DDS INC · (Female)

NPI # 1447857024
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2020
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1578942488 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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