DR. PETER ANTHONY BALACKY DDS NPI 1164881926

NPI Information

  • NPI: 1164881926
  • Provider Name: DR. PETER ANTHONY BALACKY, DDS
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • Address: 321 N LARCHMONT BLVD STE 613
    LOS ANGELES, CA
    ZIP 90004
  • Phone: (323) 465-6451

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NPI Details

DR. Peter Anthony Balacky, DDS is an oral maxillofacial surgery in Los Angeles, CA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Peter Anthony Balacky, DDS NPI is 1164881926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

321 N LARCHMONT BLVD STE 613
LOS ANGELES, CA
ZIP 90004-051
Phone: (323) 465-6451
Fax: (323) 465-6446

The enumeration date for this NPI number is 2/22/2016 and was last updated on 3/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryDEN03707RHODE ISLANDNo
2204E00000XOral & Maxillofacial Surgery1666WYOMINGNo
3204E00000XOral & Maxillofacial SurgeryD012069ARIZONANo
4204E00000XOral & Maxillofacial SurgeryD-5590IDAHONo
5204E00000XOral & Maxillofacial SurgeryD11935OREGONNo
6204E00000XOral & Maxillofacial Surgery22DI03009300NEW JERSEYNo
7204E00000XOral & Maxillofacial SurgeryDB-2024-0028NEW MEXICONo
8204E00000XOral & Maxillofacial Surgery19034729ILLINOISNo
9204E00000XOral & Maxillofacial Surgery016.0134252VERMONTNo
10204E00000XOral & Maxillofacial Surgery11062KENTUCKYNo
11204E00000XOral & Maxillofacial Surgery061045NEW YORKNo
12204E00000XOral & Maxillofacial SurgeryDEN.00205881COLORADONo
13204E00000XOral & Maxillofacial SurgeryDT-3154HAWAIINo
14204E00000XOral & Maxillofacial Surgery401418811VIRGINIANo
15204E00000XOral & Maxillofacial Surgery107091CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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