Randall J Blazic in Goodyear - Oral And Maxillofacial Surgery
Randall J Blazic - NPI 1497843445
Randall J Blazic is a Oral And Maxillofacial Surgery in Goodyear, Arizona. Randall J Blazic practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Randall J Blazic is 1497843445. The last update date is 2007-07-08.
Randall J Blazic's current location address is 1646 N Litchfield Road, Goodyear, Arizona. You can contact this provider via phone number 6239355774 and fax number 6239356524. The mailing address for Randall J Blazic is 1646 N Litchfield Road, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall J Blazic |
|---|---|
| Address | 1646 N Litchfield Road, Goodyear, Arizona |
| Phone Number | 6239355774 |
| Fax Number | 6239356524 |
| Sole Proprietor | N |
| Credentials | DDS MD |
NPI Number Detail
| NPI Number | 1497843445 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1646 N Litchfield Road |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 85338 |
| Phone Number | 6239355774 |
| Fax Number | 6239356524 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D5976 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Randall J Blazic?
The Randall J Blazic has been issued the NPI (National Provider Identifier) 1497843445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Randall J Blazic is located?
The Randall J Blazic is situated at the following address: 1646 N Litchfield Road, Goodyear, AZ, 85338.
What is the area of specialization for Randall J Blazic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall J Blazic is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Randall J Blazic receive the assignment of its 1497843445 from the Centers for Medicare & Medicaid Services?
The Randall J Blazic was issued its 1497843445 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information pertaining to Randall J Blazic most recently updated or revised?
The details related to Randall J Blazic, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC