National Provider Identifier Database

CHARISSA M MARTIN, DMD – NPI #1902884752
General Practice

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.


Contact Information

CHARISSA M MARTIN, DMD
211 NORTH MAIN STREET
BOULDER, MT59631
Phone: 406-225-4222
Fax: 406-225-4222
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for CHARISSA M MARTIN

NPI Number 1902884752
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/03/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MT License #: 2386
  • OR License #: D8602
  • NC Medicaid: 5901637
  • NC Other: 9022M BLUE CROSS BLUE SHIELD #
  • NC Other: 8098 NC DENTAL LICENSE #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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