Orest M. Balytsky, D.M.D.

Endodontics · Petaluma, CA

Individual Active NPI

NPI number 1639394430

Practice location

1436 Professional Dr
Suite 304
Petaluma, CA 94954-6697
Phone
(707) 763-2170
Fax
(707) 763-7077

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NPI record

NPI
1639394430
Entity type
Individual (Type 1)
Enumeration date
April 16, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 52184 CA

About Dr. Balytsky

Orest M. Balytsky, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 1436 Professional Dr, Suite 304, Petaluma, CA 94954-6697. The NPI number 1639394430 was assigned on April 16, 2007 and the record was last updated on July 8, 2007.

Dr. Balytsky lists a license in the registry: #52184 (CA) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Orest M. Balytsky, D.M.D.?

The NPI number is 1639394430.

What is the phone number of Dr. Balytsky?

The phone number listed for the practice location is (707) 763-2170.

Where is Dr. Balytsky located?

1436 Professional Dr, Suite 304, Petaluma, CA 94954-6697.

What is the taxonomy code for Dr. Balytsky?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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