Angela Marie Baudean, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3806-15 Issued in MS

Practice address

713 Highway 90
Gautier, MS 39553-5609

Phone

(228) 201-3621

NPI assigned

Jun 13, 2015

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Farley Family Dentistry LLC

  • Dental Clinic/Center
  • Long Beach, MS
  • NPI 1801583539
  NPD (past)
• South Mississippi Smiles Dentistry LLC

  dba South Mississippi Smiles

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1174964530
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1124409388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535609",
            "telephone_number": "228-201-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535609",
            "telephone_number": "228-201-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDEAN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3806-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Banus
• Nicolette Rose Barberi, B.S. PSYCHOLOGY
• Christina A Baria, B.S.
• Anicia Leatrice Barnes, LMSW
• Joannie Michelle Bartlett
• Austin Bradley Beach
• Johneshia Patrice Beckham, BSW
• Ashley Lanora Bedford, FNP - C
• Pamela Rae Benjaman, B.S.
• Michael Bierdeman, DMD

• General Practice Dentistry in Gautier, MS
• Providers in Gautier, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.