Randall J Blazic, DDSMD
Randall J Blazic, DDSMD is an Oral & Maxillofacial Surgery (D.M.D.) in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
13980 W Avalon Dr Ste 120Goodyear, AZ 85395-1404
Phone: (623) 935-5774
Fax: (623) 935-6524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence D5976 (AZ) |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence M31657 (AZ) |
Record details
| NPI number | 1497843445 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMD |
| Sole proprietor | No |
| NPI enumerated | October 11, 2006 |
| Last updated in NPPES | April 22, 2025 |
| Certification date | April 22, 2025 |
| Mailing address | 13980 W Avalon Dr Ste 120, Goodyear, AZ 85395-1404 |
Other providers in Goodyear
-
Palm Valley Oral Surgery
1646 N Litchfield Rd Ste 130, Goodyear, AZ 85338 · (623) 935-5774