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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER ANTHONY BALACKY, DDS

Active

DR. PETER ANTHONY BALACKY, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in LOS ANGELES, California. NPI 1164881926 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · LOS ANGELES, CA

Registration Details

NPI Number
1164881926
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2016 (10.50429075251 yrs)
Last Updated
Mar 28, 2024
Licenses
DEN03707 (RI)
1666 (WY)
D012069 (AZ)
D-5590 (ID)
D11935 (OR)

Practice Information

Address
321 N LARCHMONT BLVD STE 613
LOS ANGELES, CA, 900043051
Browse CA providers · Browse ZIP 90004
Phone
3234656451
Fax
3234656446
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in LOS ANGELES, CA

Name Credential NPI
DR. RICK CHIEN CHI TSAY D.M.D, M.D. 1851392062
DR. JOSEPH MCQUIRTER SR. DDS 1619084985
DR. FREDERICK C RUTHERFORD DDS 1346359973
MISS NORA KAHENASA DMD 1407931694
DR. DUTRAN TYLER DO MD, DMD 1053490961
DR. RICHARD D LEATHERS DDS 1588790307
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.