Randall Orthodontics, PA
Randall Orthodontics, PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3285 E 17th StAmmon, ID 83406-6758
Phone: (208) 716-3690
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence D-3405-OR (ID) |
|---|
Record details
| NPI number | 1902032246 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Randall — Owner · (208) 716-3690 |
| NPI enumerated | June 1, 2009 |
| Last updated in NPPES | June 1, 2009 |
| Mailing address | 3285 E. 17th St., Ammon, ID 83406-6758 |
Other providers in Ammon
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Dr. Charles Jared Randall, DDS
3285 E 17th St, Ammon, ID 83406-6758 · (208) 523-3380