Randall Orthodontics, P.a.

NPI #1902032246 in Ammon, Idaho

Provider Information

NPI Number: 1902032246
Entity Type: Organization
Organization Name: Randall Orthodontics, P.a.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 3285 E. 17TH ST.
City: Ammon
State: Idaho
ZIP Code: 83406-6758
Phone: (208) 716-3690

Authorized Official

Name: DR. CHARLES JARED RANDALL, D.D.S., M.S.
Title: OWNER
Phone: (208) 716-3690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Charles Jared Randall, DDS	Dentist - Orthodontics and Dentofacial Orthopedics	Ammon	AI Deep Dive
John T Kalange, D.D.S., M.S.	Dentist - Orthodontics and Dentofacial Orthopedics	Boise	AI Deep Dive
DR. Rufus Van Dyke III, DDS, MCL.D	Dentist - Orthodontics and Dentofacial Orthopedics	Pocatello	AI Deep Dive

Organizations

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Alligator Orthodontics, LLC	Dentist - Orthodontics and Dentofacial Orthopedics	Ammon	AI Deep Dive
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