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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.