PALM VALLEY ORAL SURGERY – NPI #1689886657
Oral & Maxillofacial Surgery

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.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

PALM VALLEY ORAL SURGERY is an oral & maxillofacial surgeon located in GOODYEAR, AZ. NPPES has assigned the NPI number 1689886657 to PALM VALLEY ORAL SURGERY on May 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PALM VALLEY ORAL SURGERY below.

NPI Profile for
PALM VALLEY ORAL SURGERY

NPI Number
1689886657
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PALM VALLEY ORAL SURGERY
Primary location
1646 N LITCHFIELD ROAD
STE 130
GOODYEAR, AZ 85338
Phone: (623) 935-5774 Fax: (623) 935-6524
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RANDALL BLAZIC
OWNER
Phone: (623) 935-5774
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)		 AZ M31657

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.