Cassidy Sloan Boudreau, DMD

Pediatric Dentistry · Birmingham, AL

Individual Active NPI

NPI number 1164091369

Practice location

2836 Lakeshore Pkwy
Birmingham, AL 35211-5500
Phone
(205) 434-2781

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NPI record

NPI
1164091369
Entity type
Individual (Type 1)
Enumeration date
June 22, 2021
Last updated
July 14, 2025
Certified
July 14, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X D-0006916-C1 AL

Mailing address

416 Kenilworth Dr
Birmingham, AL 35209-5414
Phone
(334) 398-1077

Other practice locations (1)

  • 1900 28th Ave S Ste 109, Homewood, AL 35209-2627 · (205) 957-6611

About Dr. Boudreau

Cassidy Sloan Boudreau, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500. The NPI number 1164091369 was assigned on June 22, 2021 and the record was last updated on July 14, 2025.

Dr. Boudreau lists a license in the registry: #D-0006916-C1 (AL) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cassidy Sloan Boudreau, DMD?

The NPI number is 1164091369.

What is the phone number of Dr. Boudreau?

The phone number listed for the practice location is (205) 434-2781.

Where is Dr. Boudreau located?

2836 Lakeshore Pkwy, Birmingham, AL 35211-5500.

What is the taxonomy code for Dr. Boudreau?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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