Dr. Charles Jared Randall is a Ammon, Idaho based Orthodontics. Active license number of Dr. Charles Jared Randall is D-3405-OR for Orthodontics in Idaho. His current practice location is 3285 E. 17th St., Ammon. Patients can reach him at 208-523-3380 or can fax him at 208-523-3077. Dr. Charles Jared Randall is DDS in Orthodontics and his NPI number (Unique professional ID assigned by NPPES) is 1710035829. Dr. Charles Jared Randall 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.
Orthodontists are also called dentofacial orthopedics who deals with that area of dentistry 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.
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.
Specialization:
Orthodontics
Credentials:
DDS
Gender:
Male
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 Number
Specialization
State
Status
D-3405-OR
Orthodontist
Idaho
Primary
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.
Identifier
Type
State
Issuer
806122100
Medicaid
Idaho
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 11 March, 2024.