Cassidy Jezlyn Bummer, DDS Valid NPI

Individual provider · General Practice Dentistry · Poplar, MT

NPI

1558094813

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DEN-DEN-LIC-23705 (MT)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-07-05

Last updated

2025-07-29