Doctor profile · Federal record
Dr. Charles Randall, DDS
Orthodontics and Dentofacial Orthopedic Dentist · Ammon, ID
- NPI 1710035829
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3285 E. 17Th St.
Ammon, ID 834066758
(208) 523-3380
fax (208) 523-3077
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 24, 2009
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Idaho #D-3405-OR
- Medicaid
- ID #806122100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710035829. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $24.14 |
By nature of payment
Frequently asked questions
What is Dr. Charles Randall's medical specialty?
Dr. Charles Randall practices Orthodontics and Dentofacial Orthopedic Dentist in Ammon, ID.
Where does Dr. Charles Randall practice?
Dr. Charles Randall practices at 3285 E. 17Th St., Ammon, ID 834066758. Office phone: 2085233380.
What is Dr. Charles Randall's NPI?
Dr. Charles Randall's National Provider Identifier (NPI) is 1710035829, issued by NPPES.