DR. KADERUS BAILEY DDS
NPI 1780433995
Dentist in Lake Charles, LA

Q: What is Kaderus Bailey's NPI number?

The NPI number for Kaderus Bailey is 1780433995. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Q: What is Kaderus Bailey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kaderus Bailey was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 20, 2024

2000 OPELOUSAS ST, LAKE CHARLES, LA 70601(337) 439-9983 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kaderus Bailey Dds NPPES

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

DR. KADERUS BAILEY DDS (NPI 1780433995) is an individual dentist in Lake Charles, Louisiana, licensed in Louisiana (7608) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1780433995

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KADERUS BAILEYCredential: DDS

Location Address2000 OPELOUSAS STLake Charles, LA 70601-2641

Mailing Address3500 Manchester DrCharlotte, NC 28217-1142 · (704) 390-0868

Phone(337) 439-9983

Sole ProprietorYes

Enumeration DateMay 20, 2024

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1780433995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in LA · 7608

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2000 OPELOUSAS ST, Lake Charles, LA 70601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

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