Individual provider · Type 1 NPI
Cassidy Sloan Boudreau, DMD
Pediatric Dentistry · Birmingham, AL
NPI number
1164091369
Active
Practice location
2836 Lakeshore Pkwy
Birmingham, AL 35211-5500
Mailing address
416 Kenilworth Dr
Birmingham, AL 35209-5414
Other practice locations
- 1900 28th Ave S Ste 109, Homewood, AL 35209-2627 · (205) 957-6611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-0006916-C1 (AL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Birmingham
- Jonathan C. Curtis, DMD, M.P.H.Pediatric Dentistry Birmingham, AL NPI 1053349472
- Kyounga Cheon, DMD, MSPediatric Dentistry Birmingham, AL NPI 1124999685
- Sory ShannonPediatric Dentistry Birmingham, AL NPI 1134336480
- Janice Gibson Jackson, DMDPediatric Dentistry Birmingham, AL NPI 1174699946
- Joby Lee Hurst, DMDPediatric Dentistry Birmingham, AL NPI 1225150782
- William Moss Bishop, D.M.DPediatric Dentistry Birmingham, AL NPI 1225173214
- Frederick B. Smith, DMDPediatric Dentistry Birmingham, AL NPI 1295835338
- Jerry Lee Parker, DMDPediatric Dentistry Birmingham, AL NPI 1336157759
About NPI 1164091369
Cassidy Sloan Boudreau, DMD's National Provider Identifier is 1164091369, issued on Jun 22, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Birmingham, AL. The record was last updated on Jul 14, 2025.