Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Balasudha Baladhandayutham, BDS, MSD

Individual provider Dentist · NPI 1932474665

Dr. Balasudha Baladhandayutham, BDS, MSD is a Dentist in Saint Louis, Missouri. Licensed in Missouri and Virginia. Registered with an NPI since 2012.

Licensed in
MO, VA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1500 Park Ave
Saint Louis, MO 63104-3024
Phone: (866) 626-2878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401418600 (VA)
Endodontics Taxonomy 1223E0200X · Licence IA-0008154045 (MO)

Record details

NPI number1932474665
Entity typeIndividual (Type 1)
GenderFemale
Credentials BDS , MSD
Sole proprietorNo
NPI enumeratedMarch 13, 2012
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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