Dr. Gabriella Hicham Baydoun, DDS
Dentist in St Petersburg, FL. Individual provider (NPI-1).
NPI number1558047266
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1558047266
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gabriella Hicham Baydoun
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN32054 | FL | Yes |
| 1223G0001X | Dentist, General Practice | DN32054 | FL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5775 Park St N Apt 406St Petersburg, FL 33709-6326
Phone 727-265-7125
Mailing address
5775 Park St N Apt 406St Petersburg, FL 33709-6326
Phone 727-265-7125
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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