Individual provider · Type 1 NPI

Vikram Ganupur

General Practice Dentistry · Clovis, NM

NPI number 1104104512 Active

Practice location

4017 N Prince St
Clovis, NM 88101-9705

Call (847) 915-3040 Map

Mailing address

2610 Weddington Rdg NE
Marietta, GA 30068-2279

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDD3568 (NM)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104104512

Vikram Ganupur's National Provider Identifier is 1104104512, issued on Aug 2, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clovis, NM. The record was last updated on Aug 2, 2011.