Balaci, Alexandre

Balaci, Alexandre is an individual health care provider with primary practice located at 860 Tuck St , Lebanon PA 17042-7477. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Balaci, Alexandre can be contacted via phone (717) 273-6745.

Contact Information

Primary practice address
860 Tuck St Lebanon PA 17042-7477
Phone: (717) 273-6745
Fax: (717) 273-0009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS028132-L Pennsylvania

Profile Details

NPI number 1174514830
LBN Legal business name Balaci, Alexandre
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174514830 NPPES
Other 449975 AETNA
Other 3905540001 AETNA
MEDICAID 0014196710001 AETNA
Other 02993801 AETNA
Other 686413 AETNA

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