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Search › Arizona › Oral and Maxillofacial Surgery (Dentist)

Randall Blazic, DDS MD

NPI 1497843445 · on the registry since 2006

Practice

Address
13980 W Avalon Dr Ste 120
Goodyear, AZ 85395
Phone
(623) 935-5774
Fax
(623) 935-6524

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Oral & Maxillofacial Surgery (D.M.D.)
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona