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PALM VALLEY ORAL SURGERY
NPI 1689886657
Oral & Maxillofacial Surgery in Goodyear, AZ

Active since May 04, 2007
1646 N LITCHFIELD ROAD, STE 130, GOODYEAR, AZ 85338(623) 935-5774(623) 935-6524 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Palm Valley Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM VALLEY ORAL SURGERY (NPI 1689886657) is a healthcare organization registered as an oral & maxillofacial surgery in Goodyear, Arizona and active in the NPI registry since May 2007. The organization lists Randall J Blazic, Owner, as its authorized official.

NPPES Registry Identity

NPI1689886657
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NamePALM VALLEY ORAL SURGERY
Location Address1646 N LITCHFIELD ROAD, STE 130Goodyear, AZ 85338
Mailing Address1646 N Litchfield Road, Ste 130Goodyear, AZ 85338 · (623) 935-5774 · Fax (623) 935-6524
Phone(623) 935-5774
Fax(623) 935-6524
Organization SubpartNo
Authorized OfficialRandall J BlazicOwner · (623) 935-5774
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689886657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in AZ · M31657
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 anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1646 N LITCHFIELD ROAD, Goodyear, AZ 85338
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palm Valley Oral Surgery's NPI number?

The NPI number for Palm Valley Oral Surgery is 1689886657. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Palm Valley Oral Surgery located?

Palm Valley Oral Surgery is located at 1646 N Litchfield Road Ste 130, Goodyear, AZ 85338. The listed phone number is (623) 935-5774.

What is Palm Valley Oral Surgery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does Palm Valley Oral Surgery accept?

Health plans from Ambetter from Arizona Complete Health list Palm Valley Oral Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Valley Oral Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.