ALEXANDRE BALACI DMD NPI 1174514830

NPI Information

  • NPI: 1174514830
  • Provider Name: ALEXANDRE BALACI, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 860 TUCK ST
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 273-6745

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NPI Details

Alexandre Balaci, DMD is an oral and maxillofacial surgery dentist in Lebanon, PA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Alexandre Balaci, DMD NPI is 1174514830. 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:

860 TUCK ST
LEBANON, PA
ZIP 17042-477
Phone: (717) 273-6745
Fax: (717) 273-0009

The NPI 1174514830 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/2/2005 and was last updated on 3/16/2017.

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
11223S0112XDentistOral and Maxillofacial SurgeryDS028132-LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1449975OTHERAETNA
2U19709MEDICARE UPIN
3686413L8TMEDICARE ID-TYPE UNSPECIFIED
40014196710001MEDICAIDPENNSYLVANIA
502993801OTHERPENNSYLVANIACAPITAL BLUE CROSS
6686413OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
73905540001OTHERPENNSYLVANIACIGNA

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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