Cassidy Sloan Boudreau, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-0006916-C1 Issued in AL

Practice address

2836 Lakeshore Pkwy
Birmingham, AL 35211-5500

Phone

(205) 434-2781

NPI assigned

Jun 22, 2021

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 and National Provider Directory roles.

• William a Lovell, III, DMD

  • Pediatric Dentistry
  • Homewood, AL
  • NPI 1740672393
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1164091369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 KENILWORTH DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095414",
            "telephone_number": "334-398-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 LAKESHORE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352115500",
            "telephone_number": "205-434-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 28th Ave S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352092627",
            "country_code": "US",
            "telephone_number": "205-957-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "CASSIDY",
        "middle_name": "SLOAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "D-0006916-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Boswell, MCD, CCC-SLP
• Kenneth Botsford, M.D.
• Alain Bouchard, MD
• Abigail Grace Boucher, PA
• Lauren Moriah Boudousquie, O.D.
• Hunter Boudreau
• Sellers Boudreau
• Arthur Boudreaux
• Lauren Boudreaux
• Molly B Bouldin, MD

• Pediatric Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.