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Dr. Charles Jared Randall, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Ammon, Idaho
NPI 1710035829

Charles Jared Randall is a Orthodontics and Dentofacial Orthopedic Dentist based in Ammon, ID and is specialized in Orthodontics and Dentofacial Orthopedics. Charles Jared Randall practices in Ammon, ID and has the professional credentials of DDS. The NPI Number for Charles Jared Randall is 1710035829 and holds a License No. D-3405-OR (Idaho).

The current practice location address for Charles Jared Randall is 3285 E. 17Th St., Ammon, ID and can be reached out via phone at 208-523-3380 and via fax at 208-523-3077. You can also correspond with Charles Jared Randall through the mailing address at 3285 E. 17TH ST., AMMON, ID - 83406-6758 (mailing address contact number: 208-523-3380).

Location: 3285 E. 17Th St., Ammon, ID, 83406-6758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710035829
Provider Name
Charles Jared Randall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3285 E. 17Th St., Ammon, ID, 83406-6758
Phone Number
208-523-3380
Fax Number
208-523-3077
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806122100 05 ID
institution
Provider Business Practice Location Address Details
Address
3285 E. 17Th St.
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-523-3380
Fax Number
208-523-3077
person
Provider Business Mailing Address Details
Address
3285 E. 17Th St.
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-523-3380
Fax Number
208-523-3077
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
D-3405-OR (Idaho)
Definition
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. Major responsibilities of orthodontic practice 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.
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