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DR. CASSIDY SLOAN BOUDREAU DMD
NPI 1164091369
Dentist - Pediatric Dentistry in Birmingham, AL

Active since June 22, 2021
2836 LAKESHORE PKWY, BIRMINGHAM, AL 35211(205) 434-2781 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2022, Jun 22, 2021 (2 updates tracked since 2021).

About Dr. Cassidy Sloan Boudreau Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASSIDY SLOAN BOUDREAU DMD (NPI 1164091369) is an individual pediatric dentistry provider in Birmingham, Alabama, licensed in Alabama (D-0006916-C1) and active in the NPI registry since June 2021. She maintains a secondary practice location in Homewood.

NPPES Registry Identity

NPI1164091369
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CASSIDY SLOAN BOUDREAUCredential: DMD
Location Address2836 LAKESHORE PKWYBirmingham, AL 35211-5500
Mailing Address416 Kenilworth DrBirmingham, AL 35209-5414 · (334) 398-1077
Phone(205) 434-2781
Sole ProprietorNo
Enumeration DateJune 22, 2021
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1164091369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AL · D-0006916-C1
Definition
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.
2836 LAKESHORE PKWY, Birmingham, AL 35211
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Secondary Practice Location 1

Location 11900 28th Ave S Ste 109Homewood, AL 35209-2627 · Phone (205) 957-6611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RED MOUNTAIN PEDIATRIC DENTISTRY
Clinic/Center (Dental)
2836 LAKESHORE PKWY
BIRMINGHAM, AL 35211
Jefferson County (205) 540-4970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Boudreau's NPI number?

The NPI number for Cassidy Boudreau is 1164091369. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Cassidy Boudreau located?

Cassidy Boudreau practices at 2836 Lakeshore Pkwy, Birmingham, AL 35211. The listed phone number is (205) 434-2781.

What is Cassidy Boudreau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Cassidy Boudreau accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Cassidy Boudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassidy Boudreau was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.