Randall J Blazic, DDS MD is an oral and maxillofacial surgery dentist in Goodyear, AZ. The provider is an oral and maxillofacial surgery dentist specialized in 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. Randall J Blazic, DDS MD NPI is 1497843445. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1646 N LITCHFIELD ROAD
SUITE 130
GOODYEAR, AZ
ZIP 85338
Phone: (623) 935-5774
Fax: (623) 935-6524
The NPI 1497843445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/11/2006 and was last updated on 7/8/2007.