Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Vikram Ganupur

Individual provider General Practice Dentistry · NPI 1104104512

Dr. Vikram Ganupur is a General Practice Dentistry in Clovis, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2011

Practice location Address checks out

4017 N Prince St
Clovis, NM 88101-9705
Phone: (847) 915-3040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD3568 (NM)

Record details

NPI number1104104512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 2, 2011
Last updated in NPPESAugust 2, 2011

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