PURE THEORY IMPLANT SERVICES LLC NPI 1629909767

NPI Information

  • NPI: 1629909767
  • Provider Name: PURE THEORY IMPLANT SERVICES LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 12000 US HIGHWAY 380 STE 114
    CROSS ROADS, TX
    ZIP 76227
  • Phone: (972) 286-5711

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NPI Details

PURE THEORY IMPLANT SERVICES LLC is a specialist in Cross Roads, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PURE THEORY IMPLANT SERVICES LLC NPI is 1629909767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12000 US HIGHWAY 380 STE 114
CROSS ROADS, TX
ZIP 76227-340
Phone: (972) 286-5711
Fax: (972) 286-5715

The provider's authorized official is Sukhraj Khassa .
The authorized official title is Manager and has the following contact phone number (972) 286-5711.

The enumeration date for this NPI number is 5/27/2026 and was last updated on 5/27/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryNo
2207Q00000XFamily MedicineNo
3207QS1201XFamily MedicineSleep MedicineNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207RS0012XInternal MedicineSleep MedicineNo
6207Y00000XOtolaryngologyNo
7207YS0012XOtolaryngologySleep MedicineNo
82084S0012XPsychiatry & NeurologySleep MedicineNo
9174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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