Palm Valley Oral Surgery in Goodyear - Oral & Maxillofacial Surgery
Palm Valley Oral Surgery - NPI 1689886657
Palm Valley Oral Surgery is a Oral & Maxillofacial Surgery in Goodyear, Arizona. Palm Valley Oral Surgery practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Palm Valley Oral Surgery is 1689886657. The last update date is 2020-08-22.
Palm Valley Oral Surgery'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 Palm Valley Oral Surgery is 1646 N Litchfield Road, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Palm Valley Oral Surgery |
|---|---|
| Address | 1646 N Litchfield Road, Goodyear, Arizona |
| Phone Number | 6239355774 |
| Fax Number | 6239356524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blazic J Randall |
| Credentials | DDS MD |
| Telephone Number | 6239355774 |
NPI Number Detail
| NPI Number | 1689886657 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2020-08-22 |
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 & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | M31657 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Post Comment/ Review Below
What is the Palm Valley Oral Surgery's unique identification number?
The Palm Valley Oral Surgery has been assigned the NPI (National Provider Identifier) Number 1689886657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Palm Valley Oral Surgery is geographically located?
The Palm Valley Oral Surgery is physically situated at the following location: 1646 N Litchfield Road, Goodyear, AZ, 85338.
What is the Palm Valley Oral Surgery's area of specialization and corresponding taxonomy classification?
The Palm Valley Oral Surgery's specialty field is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their specialties.
On what date did Palm Valley Oral Surgery receive its 1689886657 assignment from the Centers for Medicare & Medicaid Services?
The Palm Valley Oral Surgery was assigned its 1689886657 on 2007-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Palm Valley Oral Surgery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Palm Valley Oral Surgery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.