Randall Orthodontics, P.A.

LBN: Randall Orthodontics, P.A.
Randall Orthodontics, P.A. is an health care organization with primary practice located at 3285 E. 17Th St. , Ammon ID 83406-6758. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Randall Orthodontics, P.A. can be contacted via phone (208) 716-3690, or through Randall, Charles Jared via phone (208) 716-3690.

Contact Information

Primary practice address
3285 E. 17Th St. Ammon ID 83406-6758
Phone: (208) 716-3690
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Randall, Charles Jared D.D.S., M.S.
Phone: (208) 716-3690

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D-3405-OR Idaho

Profile Details

NPI number 1902032246
LBN Legal business name Randall Orthodontics, P.A.
DBA Doing business as
Authorized official Randall, Charles Jared D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2009
Last updated Jun 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers