Dr. Cassidy Sloan Boudreau, DMD
Dentist, Pediatric Dentistry in Birmingham, AL. Individual provider (NPI-1).
NPI number1164091369
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1164091369
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cassidy Sloan Boudreau
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | D-0006916-C1 | AL | Yes |
Practice location
2836 Lakeshore PkwyBirmingham, AL 35211-5500
Phone 205-434-2781
Mailing address
416 Kenilworth DrBirmingham, AL 35209-5414
Phone 334-398-1077
Other practice locations
1900 28th Ave S Ste 109
Homewood, AL 35209-2627
Homewood, AL 35209-2627
Phone 205-957-6611
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All 43 Pediatric Dentistry providers in Birmingham · All 18,836 providers in Birmingham
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