Dr. Charles Jared Randall

DDS | Orthodontics



  
  3285 E. 17th St., Ammon
  Idaho, 83406-6758

  208-523-3380    208-523-3077 Maps & Directions
Dr. Charles Jared Randall is a Ammon, Idaho based Orthodontics who is specialized in Orthodontics and Dentofacial Orthopedics. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Charles Jared Randall is D-3405-OR for Orthodontics and Dentofacial Orthopedics in Idaho. His current practice location is 3285 E. 17th St., Ammon. Patients can reach him at 208-523-3380.

Dr. Charles Jared Randall is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. His major responsibilities include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Complete Profile:
Dr. Charles Jared Randall 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: Dr. Charles Jared Randall
Specialization: Orthodontics
Gender:Male
Credentials: DDS
Accepts Medicare Assignment:No
Practice Address:3285 E. 17th St., Ammon,
Idaho, 83406-6758
Phone:208-523-3380
Fax:208-523-3077
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: 1710035829
NPI Enumeration Date: 08 Jan, 2007
NPI Last Update On: 24 Jul, 2009

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles Jared Randall are as mentioned below.
License NumberSpecializationStateStatus
D-3405-OROrthodontics and Dentofacial Orthopedics IdahoPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Charles Jared Randall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
806122100MedicaidIdaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3285 E. 17th St.,
Ammon, Idaho
Zip: 83406-6758
Phone Number: 208-523-3380
Fax Number: 208-523-3077
Patients can reach Dr. Charles Jared Randall at 3285 E. 17th St., Ammon, Idaho or can call to book an appointment on 208-523-3380. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2021.

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