Charissa Michelle Martin is a Boulder, Montana based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Charissa Michelle Martin is 2386 for General Practice Dentistry in Montana. Her current practice location is 211 North Main Street, Boulder. Patients can reach her at 406-225-4222.
Charissa Michelle Martin is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Charissa Michelle Martin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Charissa Michelle Martin
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
211 North Main Street, Boulder, Montana, 59631
Phone:
406-225-4222
Fax:
406-225-4222
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902884752
NPI Enumeration Date:
03 Jan, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charissa Michelle Martin are as mentioned below.
License Number
Specialization
State
Status
2386
General Practice Dentistry
Montana
Primary
D8602
General Practice Dentistry
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Charissa Michelle Martin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8098
Other
North Carolina
NC DENTAL LICENSE #
5901637
Medicaid
North Carolina
9022M
Other
North Carolina
BLUE CROSS BLUE SHIELD #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
211 North Main Street, Po Box 512 Boulder, Montana
Zip:
59631
Phone Number:
406-225-4222
Fax Number:
406-225-4222
Patients can reach Charissa Michelle Martin at 211 North Main Street, Boulder, Montana or can call to book an appointment on 406-225-4222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.