MEDICARE: FMR IMPLANT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)
2	207Q00000X	Family Medicine Physician
3	207QS1201X	Sleep Medicine (Family Medicine) Physician
4	207RP1001X	Pulmonary Disease Physician
5	207RS0012X	Sleep Medicine (Internal Medicine) Physician
6	207Y00000X	Otolaryngology Physician
7	207YS0012X	Sleep Medicine (Otolaryngology) Physician
8	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician
9	174400000X	Specialist

General Provider Information

NPI Number	:	1972434074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FMR IMPLANT SERVICES LLC

Provider Business Mailing Address
First Line	:	3501 SHEPHERD LN
Second Line	:
City	:	BALCH SPRINGS
State	:	TX
Zip	:	75180-2325
Country	:	US
Telephone Number	:	972-286-5711
Fax Number	:	972-286-5715

Provider Business Practice Location Address
First Line	:	6600 NORTH FWY STE 109
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76137-7556
Country	:	US
Telephone Number	:	972-286-5711
Fax Number	:	972-286-5715

Authorized Official
Title or Position	:	MANAGER
Name	:	SUKHRAJ KHASSA
Credential	:
Telephone Number	:	972-286-5711

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

Similar Medicare Providers

1992914758 — EDWINA JIMENEZ EVANGELISTA D.D.S.
Practice Location Address:

6600 NORTH FWY , SUITE 109
FORT WORTH, TX
76137-7556

Practice Phone: 817-232-4600
Practice Fax: 817-232-4610

1841591658 — EVANGELISTA DENTAL CARE, PLLC
Practice Location Address:

6600 NORTH FWY STE 109
FORT WORTH, TX
76137-7556

Practice Phone: 817-232-4600
Practice Fax: 817-232-4610

1306490156 — FTWH DENTAL PLLC
Practice Location Address:

6600 NORTH FWY STE 109
FORT WORTH, TX
76137-7556

Practice Phone: 972-679-3630
Practice Fax:

1104899764 — DR. MARK E HALL D.P.M. P.A.
Practice Location Address:

7556 LAKE WORTH RD , SUITE 104
LAKE WORTH, FL
33467-2503

Practice Phone: 561-966-5060
Practice Fax: 561-966-4489

1972789170 — MARK E HALL D P M P A
Practice Location Address:

7556 LAKE WORTH RD , SUITE 104
LAKE WORTH, FL
33467-2503

Practice Phone: 561-966-5060
Practice Fax: 561-966-4489

1881919124 — EMILIO ENRIQUE LOPEZ M.D.
Practice Location Address:

7556 LAKE WORTH RD STE 103
LAKE WORTH, FL
33467-2503

Practice Phone: 561-894-1370
Practice Fax: 561-894-1372

Directions to “FMR IMPLANT SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.