Individual
DR. PETER ANTHONY BALACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
321 N LARCHMONT BLVD STE 613, LOS ANGELES, CA 90004-3051
(323) 465-6451
(323) 465-6446
Mailing address
15332 ANTIOCH ST STE 410, PACIFIC PALISADES, CA 90272-3603
(424) 322-0405
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
016.0134252
VT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
061045
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
107091
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11062
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
1666
WY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
19034729
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
22DI03009300
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
401418811
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D-5590
ID
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D012069
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D11935
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DB-2024-0028
NM
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DEN.00205881
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DEN03707
RI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DT-3154
HI
Other
Enumeration date
02/22/2016
Last updated
03/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us