Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARISSA MICHELLE MARTIN, DMD
ActiveCHARISSA MICHELLE MARTIN, DMD is a General Dentistry healthcare provider located in BOULDER, Montana. NPI 1902884752 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BOULDER, MT
Registration Details
- NPI Number
- 1902884752
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2006 (20.591977751964 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
2386 (MT)D8602 (OR)
Practice Information
- Address
-
211 NORTH MAIN STREETBOULDER, MT, 59631Browse MT providers · Browse ZIP 59631
- Phone
- 4062254222
- Fax
- 4062254222
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.