Randall J Blazic is a Goodyear, Arizona based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Randall J Blazic is
D5976 for Oral and Maxillofacial Surgery in Arizona. His current practice location is
13980 W Avalon Dr Ste 120, Goodyear. Patients can reach him at
623-935-5774.
Randall J Blazic is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Randall J Blazic speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Randall J Blazic |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS MD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 13980 W Avalon Dr Ste 120, Goodyear,
Arizona, 85395-1404 |
| Phone: | 623-935-5774 |
| Fax: | 623-935-6524 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1497843445 |
| NPI Enumeration Date: | 11 Oct, 2006 |
| NPI Last Update On: | 22 Apr, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall J Blazic are as mentioned below.
| License Number | Specialization | State | Status | |
| D5976 | Oral and Maxillofacial Surgery | Arizona | Primary | |
| M31657 | Oral & Maxillofacial Surgery | Arizona | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 13980 W Avalon Dr Ste 120,
Goodyear, Arizona |
| Zip: | 85395-1404 |
| Phone Number: | 623-935-5774 |
| Fax Number: | 623-935-6524 |
Patients can reach Randall J Blazic at
13980 W Avalon Dr Ste 120, Goodyear, Arizona or can
call to book an appointment on 623-935-5774.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.