| Charissa Michelle Martin, DMD | |
|
211 North Main Street, Boulder, MT 59631 | |
| (406) 225-4222 | |
| (406) 225-4222 |
| Full Name | Charissa Michelle Martin |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 211 North Main Street, Boulder, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902884752 | NPI | - | NPPES |
| 8098 | Other | NC | NC DENTAL LICENSE # |
| 5901637 | Medicaid | NC | |
| 9022M | Other | NC | BLUE CROSS BLUE SHIELD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2386 (Montana) | Primary |
| 1223G0001X | Dentist - General Practice | D8602 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Charissa Michelle Martin, DMD 211 North Main Street, Po Box 512, Boulder, MT 59631 Ph: (406) 225-4222 | Charissa Michelle Martin, DMD 211 North Main Street, Boulder, MT 59631 Ph: (406) 225-4222 |
Dr. Vermon Craig Barney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 North Main, Boulder, MT 59632 Phone: 406-558-5123 Fax: 406-225-3150 |