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CHARISSA MICHELLE MARTIN DMD
NPI 1902884752
Dentist - General Practice in Boulder, MT

Active since January 03, 2006
211 NORTH MAIN STREET, BOULDER, MT 59631(406) 225-4222(406) 225-4222 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charissa Michelle Martin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARISSA MICHELLE MARTIN DMD (NPI 1902884752) is an individual general practice provider in Boulder, Montana, licensed in Montana (2386) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1902884752
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCHARISSA MICHELLE MARTINCredential: DMD
Location Address211 NORTH MAIN STREETBoulder, MT 59631
Mailing Address211 North Main Street, Po Box 512Boulder, MT 59631 · (406) 225-4222 · Fax (406) 225-4222
Phone(406) 225-4222
Fax(406) 225-4222
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1902884752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MT · 2386✔ Licensed in OR · D8602
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.
211 NORTH MAIN STREET, Boulder, MT 59631
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Other Identifiers 3

Other8098NC · Nc Dental License #
Medicaid5901637NC
Other9022MNC · Blue Cross Blue Shield #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charissa Martin's NPI number?

The NPI number for Charissa Martin is 1902884752. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Charissa Martin located?

Charissa Martin practices at 211 North Main Street, Boulder, MT 59631. The listed phone number is (406) 225-4222.

What is Charissa Martin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Charissa Martin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Charissa Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charissa Martin was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.