Dr Charles Jared Randall, DDS - Dentist in Ammon, ID

Dr Charles Jared Randall, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Ammon, Idaho. Dr Charles Jared Randall is licensed to practice in Idaho (license number D-3405-OR) and his current practice location is 3285 E. 17th St., Ammon, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 523-3380.

NPI number for Dr Charles Jared Randall is 1710035829 and his current mailing address is 3285 E. 17th St., Ammon, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710035829.

Contact Information

Dr Charles Jared Randall, DDS
3285 E. 17th St.,
Ammon, ID 83406-6758
(208) 523-3380
(208) 523-3077



Healthcare Provider's Profile

Full NameDr Charles Jared Randall
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location3285 E. 17th St., Ammon, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710035829
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 07/24/2009

Medical Identifiers

Medical identifiers for Dr Charles Jared Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710035829NPI-NPPES
806122100MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics D-3405-OR (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Jared Randall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Jared Randall, DDS
3285 E. 17th St.,
Ammon, ID 83406-6758

Ph: (208) 523-3380
Dr Charles Jared Randall, DDS
3285 E. 17th St.,
Ammon, ID 83406-6758

Ph: (208) 523-3380

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› Verified 9 days ago


Dentist in Ammon, ID

Monika M Attia, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2641 S 25th E, Ammon, ID 83406
Phone: 208-497-0049    
Dr. Kory Bingham, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3299 E 17th St, Ammon, ID 83406
Phone: 208-529-3007    Fax: 208-529-1525
Dr. Jed Karl Zirker, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1801 S Ammon Rd, Ammon, ID 83406
Phone: 208-528-7665    Fax: 208-522-9556
Dr. Randall G. Smith,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2805 Eagle Drive, Ammon, ID 83406
Phone: 208-542-1333    Fax: 208-552-7296
Theodore James, DDS
Dentist
Medicare: Accepting Medicare Assignments
Practice Location: 2677 E 17th St Ste 600, Ammon, ID 83406
Phone: 208-705-9652    
Mark Marlowe, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2805 Eagle Dr, Ammon, ID 83406
Phone: 208-542-1333    Fax: 208-552-7296

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