Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Balacky Dental Corporation

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1871212738

Peter Balacky Dental Corporation is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

321 N Larchmont Blvd Ste 613
Los Angeles, CA 90004-3051
Phone: (323) 465-6451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1871212738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Balacky — Owner · (646) 756-9450
Other names Larchmont Village Oral Surgery
NPI enumeratedAugust 24, 2022
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address321 N Larchmont Blvd Ste 617, Los Angeles, CA 90004-6406

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