DR. CHARLES JACK RANDEL DDS NPI 1073684072

NPI Information

  • NPI: 1073684072
  • Provider Name: DR. CHARLES JACK RANDEL, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 26323 72ND AVE NW
    STANWOOD, WA
    ZIP 98292
  • Phone: (360) 629-2148

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NPI Details

DR. Charles Jack Randel, DDS is a general practice dentist in Stanwood, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Charles Jack Randel, DDS NPI is 1073684072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26323 72ND AVE NW
STANWOOD, WA
ZIP 98292-315
Phone: (360) 629-2148

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6897WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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