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Sudheer J. Surpure, MD,DDS
Oral & Maxillofacial Surgery (D.M.D.) in Flagstaff, Arizona
NPI 1235216185

Sudheer J. Surpure is a Oral & Maxillofacial Surgery (D.M.D.) based in Flagstaff, AZ. Sudheer J. Surpure practices in Flagstaff, AZ and has the professional credentials of MD,DDS. The NPI Number for Sudheer J. Surpure is 1235216185 and holds a License No. OMS 89 (Arizona).

The current practice location address for Sudheer J. Surpure is 1600 W University Ave Ste 101, Flagstaff, AZ and can be reached out via phone at 928-247-6200 and via fax at 702-472-8575. You can also correspond with Sudheer J. Surpure through the mailing address at 1600 W UNIVERSITY AVE STE 101, FLAGSTAFF, AZ - 86001-3154 (mailing address contact number: 928-247-6200).

Location: 1600 W University Ave Ste 101, Flagstaff, AZ, 86001-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235216185
Provider Name
Sudheer J. Surpure
Credential
MD,DDS
Provider Entity Type
Individual
Gender
Male
Address
1600 W University Ave Ste 101, Flagstaff, AZ, 86001-3154
Phone Number
928-247-6200
Fax Number
702-472-8575
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A920440 05 CA
institution
Provider Business Practice Location Address Details
Address
1600 W University Ave Ste 101
City
Flagstaff
State
Arizona
Zip
86001-3154
Phone Number
928-247-6200
Fax Number
702-472-8575
person
Provider Business Mailing Address Details
Address
1600 W University Ave Ste 101
City
Flagstaff
State
Arizona
Zip
86001-3154
Phone Number
928-247-6200
Fax Number
602-957-3282
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
OMFS SPECIALTY 157 (Oklahoma)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
OMS 89 (California)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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