Sudheer J. Surpure in Flagstaff - Oral And Maxillofacial Surgery
Sudheer J. Surpure - NPI 1235216185
Sudheer J. Surpure is a Oral And Maxillofacial Surgery in Flagstaff, Arizona. Sudheer J. Surpure practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Sudheer J. Surpure is 1235216185. The last update date is 2023-10-13.
Sudheer J. Surpure's current location address is 1600 W University Ave Ste 101, Flagstaff, Arizona. You can contact this provider via phone number 9282476200 and fax number 6029573282. The mailing address for Sudheer J. Surpure is 1600 W University Ave Ste 101, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sudheer J. Surpure |
|---|---|
| Address | 1600 W University Ave Ste 101, Flagstaff, Arizona |
| Phone Number | 9282476200 |
| Fax Number | 6029573282 |
| Sole Proprietor | Y |
| Credentials | MD, DDS |
NPI Number Detail
| NPI Number | 1235216185 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2023-10-13 |
Provider Mailing Address Detail
| Address | 1600 W University Ave Ste 101 |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860013154 |
| Phone Number | 9282476200 |
| Fax Number | 6029573282 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | OMS 89 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A920440 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sudheer J. Surpure?
The Sudheer J. Surpure has been issued the NPI (National Provider Identifier) 1235216185 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Sudheer J. Surpure located?
The Sudheer J. Surpure is located at 1600 W University Ave Ste 101, Flagstaff, AZ 860013154.
What is Sudheer J. Surpure's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sudheer J. Surpure's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Sudheer J. Surpure receive its 1235216185 assignment from the Centers for Medicare & Medicaid Services?
The Sudheer J. Surpure was assigned its 1235216185 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date was the information regarding Sudheer J. Surpure, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sudheer J. Surpure, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-13.