Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Jared Randall, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1710035829

Dr. Charles Jared Randall, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3285 E 17th St
Ammon, ID 83406-6758
Phone: (208) 523-3380
Fax: (208) 523-3077
Show map & directions

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 number1710035829
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 24, 2009
Mailing address3285 E. 17th St., Ammon, ID 83406-6758

Other providers in Ammon