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Charissa Michelle Martin, DMD
General Practice Dentistry in Boulder, Montana
NPI 1902884752

Charissa Michelle Martin is a General Practice Dentistry based in Boulder, MT and is specialized in General Practice. Charissa Michelle Martin practices in Boulder, MT and has the professional credentials of DMD. The NPI Number for Charissa Michelle Martin is 1902884752 and holds a License No. 2386 (Montana).

The current practice location address for Charissa Michelle Martin is 211 North Main Street, Boulder, MT and can be reached out via phone at 406-225-4222 and via fax at 406-225-4222.

Location: 211 North Main Street, Boulder, MT, 59631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902884752
Provider Name
Charissa Michelle Martin
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
211 North Main Street, Boulder, MT, 59631
Phone Number
406-225-4222
Fax Number
406-225-4222
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8098 01 NC NC DENTAL LICENSE #
5901637 05 NC
9022M 01 NC BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
211 North Main Street
City
Boulder
State
Montana
Zip
59631
Phone Number
406-225-4222
Fax Number
406-225-4222
person
Provider Business Mailing Address Details
Address
211 North Main Street
City
Boulder
State
Montana
Zip
59631
Phone Number
406-225-4222
Fax Number
406-225-4222
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2386 (Montana)
Definition
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.
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