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Alexandre Balaci, DMD
Oral and Maxillofacial Surgery (Dentist) in Lebanon, Pennsylvania
NPI 1174514830

Alexandre Balaci is a Oral and Maxillofacial Surgery (Dentist) based in Lebanon, PA and is specialized in Oral and Maxillofacial Surgery. Alexandre Balaci practices in Lebanon, PA and has the professional credentials of DMD. The NPI Number for Alexandre Balaci is 1174514830 and holds a License No. DS028132-L (Pennsylvania).

The current practice location address for Alexandre Balaci is 860 Tuck St, Lebanon, PA and can be reached out via phone at 717-273-6745 and via fax at 717-273-0009.

Location: 860 Tuck St, Lebanon, PA, 17042-7477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174514830
Provider Name
Alexandre Balaci
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
860 Tuck St, Lebanon, PA, 17042-7477
Phone Number
717-273-6745
Fax Number
717-273-0009
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
449975 01 AETNA
3905540001 01 PA CIGNA
0014196710001 05 PA
02993801 01 PA CAPITAL BLUE CROSS
686413 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
860 Tuck St
City
Lebanon
State
Pennsylvania
Zip
17042-7477
Phone Number
717-273-6745
Fax Number
717-273-0009
person
Provider Business Mailing Address Details
Address
860 Tuck St
City
Lebanon
State
Pennsylvania
Zip
17042-7477
Phone Number
717-273-6745
Fax Number
717-273-0009
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS028132-L (Pennsylvania)
Definition
The specialty of dentistry which includes 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.
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