Dr. Douglas J. Baldwin DDS
Dentist
He is located at 206 West Mahl Street in Edinburg, TX 78539. Can help patients with the following: Bleeding Gums, Cosmetic Dentistry, Dental Implants, Laser, Oral Cancer Examination, Teeth Grinding. His National Provider Identifier (NPI) number is 1376854596. Appointment can be made via the phone number (956) 383-4400. He is affiliated with 1 practices.
Conditions treated
Dr. Douglas James Baldwin, being an dentist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Douglas J. Baldwin.
- Bleeding Gums
- Cosmetic Dentistry
- Dental Bridges
- Dental Crowns and Caps
- Dental Emergency
- Dental Exam and Cleaning
- Dental Implants
- Dental Malocclusion
- Dentin Hypersensitivity
- Dentures
- Gum Disease / Gingivitis
- Invisalign
- Laser
- Oral Cancer Examination
- Pericoronitis
- Teeth Grinding
- Teeth Whitening
- Veneers
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Douglas J. Baldwin as in-network for the following 2026 plans.
Health plans
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 19 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
Dental plans
Blue Cross and Blue Shield of Texas
Network data as of Jun 19, 2026, as reported by the insurer.
Show all 6 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BlueCare Dental 1D | PPO · Low | Preferred | Accepting new patients |
| BlueCare Dental 4 Kids℠ 1A | PPO · High | Preferred | Accepting new patients |
| BlueCare Dental 4 Kids℠ 1B | PPO · Low | Preferred | Accepting new patients |
| BlueCare Dental℠ 1A | PPO · High | Preferred | Accepting new patients |
| BlueCare Dental℠ 1B | PPO · Low | Preferred | Accepting new patients |
| BlueCare Dental℠ 1C | PPO · Low | Preferred | Accepting new patients |
Delta Dental PPO
Network data as of Sep 12, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Delta Dental Individual and Family DPO Basic Plan for Families | PPO · Low | Delta Dental PPO | Accepting new patients |
| Delta Dental Individual and Family DPO Preferred Plan for Families | PPO · High | Delta Dental PPO | Accepting new patients |
| Delta Dental Individual and Family DPO Preventive Plan for Families | PPO · High | Delta Dental PPO | Accepting new patients |
Humana
Network data as of Sep 13, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Humana Dental Smart Choice - High | PPO · High | Preferred | Accepting new patients |
| Humana Dental Smart Choice - Lite | PPO · Low | Preferred | Accepting new patients |
| Humana Dental Smart Choice - Low | PPO · Low | Preferred | Accepting new patients |
Renaissance Dental
Network data as of Sep 16, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Texas Preferred Plan | PPO · Low | Preferred | Accepting new patients |
| Texas Preferred Plan (Pediatric Only) | PPO · Low | Preferred | Accepting new patients |
| Texas Preferred Plus Plan | PPO · High | Preferred | Accepting new patients |
| Texas Preferred Plus Plan (Pediatric Only) | PPO · High | Preferred | Accepting new patients |
| Texas Wellness Essentials Plan | PPO · Low | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Douglas J. Baldwin is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Douglas J. Baldwin is enrolled to bill Medicare as a Order And Referring Only - Oral Surgery (also registered under: Practitioner - Oral Surgery) .
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Salvin Dental Specialties | $110 |
| Implant Direct International | $90 |
| 3M Company | $28 |
Other
| Food and Beverage | $267 |
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Questions & Answers
Does Dr. Douglas James Baldwin accept insurance?
Dr. Douglas James Baldwin is listed in-network for 36 ACA Marketplace (Obamacare/HealthCare.gov) plans from Blue Cross and Blue Shield of Texas, Delta Dental PPO, Humana, Renaissance Dental. See the Marketplace plans section for details.
What conditions does Dr. Douglas James Baldwin treat?
Dr. Douglas James Baldwin provides treatment for Bleeding Gums, Cosmetic Dentistry, Dental Implants, Laser, Oral Cancer Examination, Teeth Grinding. For the full list see this list.
Does Dr. Douglas James Baldwin have affiliation with practices?
Dr. Douglas James Baldwin is affiliated with Adame Dental Sleep Medicine.
Where can you meet with Dr. Douglas James Baldwin?
Dr. Douglas James Baldwin's office is located at 206 West Mahl Street in Edinburg, TX 78539.