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General NPI Number Information
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NPI Number | 1609667435
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Entity Type | Organization
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Legal Business Name | UNITED IMPLANT SERVICES LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3355 TRINITY MILLS RD STE 209
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City | DALLAS
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State | TX
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Zip | 75287-6282
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Country | US
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Telephone | 972-306-3282
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 TRINITY MILLS RD STE 209
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City | DALLAS
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State | TX
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Zip | 75287-6282
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUKHRAJ KHASSA
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Credential |
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Telephone | 972-306-3282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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