Active NPI
Gabriella Hicham Baydoun, DDS
- Dentist
- St Petersburg, FL
National Provider Identifier
1558047266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN32054
- Practice address
- 5775 Park St N Apt 406
St Petersburg, FL 33709-6326 - Phone
- (727) 265-7125
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN32054 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DN32054 | FL | Primary |
Addresses
Primary practice location
5775 Park St N Apt 406
St Petersburg, FL 33709-6326
Mailing address
5775 Park St N Apt 406
St Petersburg, FL 33709-6326
Phone (727) 265-7125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1558047266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 PARK ST N APT 406",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337096326",
"telephone_number": "727-265-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 PARK ST N APT 406",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337096326",
"telephone_number": "727-265-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYDOUN",
"first_name": "GABRIELLA",
"middle_name": "HICHAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN32054",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN32054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.