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LARCHMONT VILLAGE ORAL SURGERY
NPI 1871212738
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since August 24, 2022
321 N LARCHMONT BLVD STE 613, LOS ANGELES, CA 90004(323) 465-6451 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Jan 2, 2024, Aug 24, 2022 (3 updates tracked since 2022).

About Larchmont Village Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARCHMONT VILLAGE ORAL SURGERY (NPI 1871212738) is a healthcare organization registered as an oral and maxillofacial surgery in Los Angeles, California and active in the NPI registry since August 2022. The organization lists Peter Balacky, Owner, as its authorized official.

NPPES Registry Identity

NPI1871212738
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePETER BALACKY DENTAL CORPORATION
Location Address321 N LARCHMONT BLVD STE 613Los Angeles, CA 90004-3051
Mailing Address321 N Larchmont Blvd Ste 617Los Angeles, CA 90004-6406 · (323) 465-6451
Phone(323) 465-6451
Organization SubpartNo
Authorized OfficialPeter BalackyOwner · (646) 756-9450
Enumeration DateAugust 24, 2022
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1871212738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
321 N LARCHMONT BLVD STE 613, Los Angeles, CA 90004
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Other Names 1

Doing Business AsLarchmont Village Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER ANTHONY BALACKY DDS
Oral & Maxillofacial Surgery
321 N LARCHMONT BLVD STE 613
LOS ANGELES, CA 90004
Los Angeles County (323) 465-6451
BALACKY DENTAL GROUP, P.C.
Clinic/Center (Dental)
321 N LARCHMONT BLVD STE 613
LOS ANGELES, CA 90004
Los Angeles County (646) 756-9450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Balacky Dental Corporation's NPI number?

The NPI number for Peter Balacky Dental Corporation is 1871212738. It was assigned to this organization in the NPPES registry on August 24, 2022. The provider is doing business as Larchmont Village Oral Surgery.

Where is Peter Balacky Dental Corporation located?

Peter Balacky Dental Corporation is located at 321 N Larchmont Blvd Ste 613, Los Angeles, CA 90004. The listed phone number is (323) 465-6451.

What is Peter Balacky Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Peter Balacky Dental Corporation accept?

Health plans from UnitedHealthcare list Peter Balacky Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Balacky Dental Corporation was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.