Healthcare Provider Details

I. General information

NPI: 1306727953
Provider Name (Legal Business Name): PUR THERAPEUTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5037 VETERANS MEMORIAL BLVD STE 3A
METAIRIE LA
70006-5134
US

IV. Provider business mailing address

5037 VETERANS MEMORIAL BLVD STE 3A
METAIRIE LA
70006-5134
US

V. Phone/Fax

Practice location:
  • Phone: 504-387-8787
  • Fax: 985-781-4319
Mailing address:
  • Phone: 504-387-8787
  • Fax: 985-781-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. EMILIE R SCHENCK
Title or Position: DDS
Credential:
Phone: 504-387-8787