Organization
PURE THEORY IMPLANT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKHRAJ KHASSA (MANAGER)
(972) 286-5711
Entity
Organization
Contact information
Practice address
12000 US HIGHWAY 380 STE 114, CROSS ROADS, TX 76227-2340
(972) 286-5711
(972) 286-5715
Mailing address
3501 SHEPHERD LN, BALCH SPRINGS, TX 75180-2325
(972) 286-5711
(972) 286-5715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207Q00000X
Family Medicine Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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