OrganizationActive
Palm Valley Oral Surgery
NPI 1689886657 · Oral & Maxillofacial Surgery (D.M.D.) · Goodyear, AZ
Provider details
- NPI number
- 1689886657
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Blazic, Owner(623) 935-5774
- License
- M31657 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1646 N Litchfield Road
Ste 130
Goodyear, AZ 85338
Phone: (623) 935-5774
Fax: (623) 935-6524
Street-level locationGet directions
Mailing address
1646 N Litchfield Road
Goodyear, AZ 85338
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.