Dentist Providers In Abilene, Texas

Search Dentist NPI records in Abilene, TX

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Abilene, TX. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 157, of which 39 are registered as organizations and 118 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

75% Individuals

25% Organizations

20% Female

55% Male

75% Individual Providers (118)25% Medical Organizations (39)20% Female Providers (31)55% Male Providers (87)

Map of Providers

We have mapped the Dentist providers in Abilene, TX to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Abilene, TX
NPI	Name	Address	Insurance	Medicare	PECOS
1003687443	SWDG OF ABILENE PLLC (Organization)	2425 ANTILLEY RD ABILENE, TX 79606 (325) 244-2434		Non-Participating Provider	NO
1003812470	DRU BART BOURLAND (Individual)	4601 BUFFALO GAP RD STE D1 ABILENE, TX 79606 (325) 695-3300		Non-Participating Provider	YES
1003918632	JAMES H BROOKS (Individual)	3281 S 27TH ST ABILENE, TX 79605 (325) 695-1131		Non-Participating Provider	NO
1013283613	KYUNG MOOK PARK (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1013514181	MARCOS ESTEBAN BETANCOURT (Individual)	4741 BUFFALO GAP RD ABILENE, TX 79606 (325) 437-5284	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1023035458	ROBERT EARL RUSSELL HAWLEY (Individual)	2423 BARROW STREET ABILENE, TX 79605 (325) 692-0565		Non-Participating Provider	YES
1023175254	DON WAYNE MC COLLUM (Individual)	2025 PINE ST ABILENE, TX 79601 (325) 672-2021	Guardian	Non-Participating Provider	NO
1023238185	CLAYTON ZACHERY RUNYAN (Individual)	5309 BUFFALO GAP RD ABILENE, TX 79606 (325) 692-3344	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Opted out of Medicare	YES
1033125125	STANLEY DON TURNER (Individual)	3118 BUFFALO GAP RD ABILENE, TX 79605 (325) 698-3384	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1033380142	NORTH MESA DENTAL, PC ALLINGTON DENTAL (Organization)	4754 S 14TH ST ABILENE, TX 79605 (800) 920-9947	Aetna CVS Health	Non-Participating Provider	NO
1033770227	RAJAMANOJ KONDAVEETI (Individual)	13055 FM 3522 ABILENE, TX 79601 (325) 548-9075	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1053060087	DAVID LUKE CHASTAIN (Individual)	4601 BUFFALO GAP RD STE C4 ABILENE, TX 79606 (325) 692-7272		Non-Participating Provider	NO
1063503548	CHRISTOPHER WILLIAM PROCTOR (Individual)	4601 BUFFALO GAP RD SUITE C-4 ABILENE, TX 79606 (325) 692-2423	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	YES
1073339008	BRIAN EDWARD TOOGOOD, DDS, PLLC (Organization)	4373 TREANOR DR ABILENE, TX 79602 (325) 513-4318		Non-Participating Provider	NO
1073616421	CHARLES M TAYLOR (Individual)	5200 BUFFALO GAP RD BLDG C ABILENE, TX 79606 (325) 695-0170	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian	Non-Participating Provider	NO
1073622296	TERI LOVELACE (Individual)	3281 S 27TH ST ABILENE, TX 79605 (325) 695-1131		Non-Participating Provider	YES
1073928982	SHIZA KHAN (Individual)	1365 BARROW ST ABILENE, TX 79605 (847) 701-1457	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1083098289	JOHNSON DENTAL GROUP PLLC ABILENE DENTAL CARE (Organization)	602 HICKORY ST STE B ABILENE, TX 79601 (325) 676-7707	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1083680623	DAVID BARRY KEMP (Individual)	697 LOUISIANA DRIVE DYESS AIR FORCE BASE ABILENE, TX 79607 (325) 696-2304		Non-Participating Provider	NO
1093727059	MARK NELSON TATE (Individual)	1025 GLENHAVEN ABILENE, TX 79603 (325) 673-3331	Guardian	Non-Participating Provider	NO
1093952392	FINLEY & RUNYAN, LLP BAWCOM & FINLEY, LLP (Organization)	4321 SOUTHWEST DR ABILENE, TX 79606 (325) 692-6031		Non-Participating Provider	NO
1104167055	ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC (Organization)	1904 PINE ST STE 1D ABILENE, TX 79601 (325) 232-8939		Non-Participating Provider	NO
1104425313	NAVITA KALAIR (Individual)	1365 BARROW ST ABILENE, TX 79605 (325) 480-4248	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas DentaQuest USA Insurance Company Inc. Florida Combined Life Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1114147279	ROBERT WAYNE LEEDY (Individual)	5309 BUFFALO GAP RD ABILENE, TX 79606 (325) 692-3344		Non-Participating Provider	NO
1114601564	MACKENZIE J JONES (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1124282900	JOSHUA MICHAEL DAVIS (Individual)	4601 BUFFALO GAP RD SUITE C-1 ABILENE, TX 79606 (325) 695-7668	Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	NO
1134196512	TAMMY JAYNE NICOLDS (Individual)	602 HICKORY ST STE B ABILENE, TX 79601 (325) 480-3517	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1154002434	TX SOUTHERN DENTAL PPO PC (Organization)	5200 BUFFALO GAP RD STE E ABILENE, TX 79606 (325) 691-1440	Aetna CVS Health	Non-Participating Provider	NO
1154133759	W. MARK SIVLEY DDS PLLC (Organization)	4373 TREANOR DR ABILENE, TX 79602 (325) 692-1580		Non-Participating Provider	NO
1184495426	LACY MANKIN, DDS, P.A. (Organization)	4150 S DANVILLE DR ABILENE, TX 79605 (325) 437-3395		Non-Participating Provider	NO
1184902868	TRACI JEAN KING (Individual)	2381 SOUTH 32ND ST ABILENE, TX 79605 (325) 672-9191		Non-Participating Provider	YES
1194013938	MARGARET MICHALEC COWLING (Individual)	850 N 6TH ST SUITE 235 ABILENE-TAYLOR COUNTY PUBLIC HEALTH DISTRICT ABILENE, TX 79604 (325) 692-5600	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1205191004	LACIE DENNIS COLEY (Individual)	2601 BARROW ST ABILENE, TX 79605 (325) 795-8880	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Humana Paramount Paramount Dental	Non-Participating Provider	NO
1215193578	NORMAN P POORMAN (Individual)	2501 S WILLIS ST STE C ABILENE, TX 79605 (325) 692-9557	Aetna CVS Health Blue Cross and Blue Shield of Alabama Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1215266093	ABILENE SMILECRAFTERS, PLLC (Organization)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164		Non-Participating Provider	NO
1225648405	CHRIS SHIN (Individual)	602 HICKORY ST STE B ABILENE, TX 79601 (325) 200-0925	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235354200	CHANCE WRIGHT FINLEY (Individual)	2201 S DANVILLE DR ABILENE, TX 79605 (325) 692-6031	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Opted out of Medicare	YES
1235532508	JOEL BALDWIN ALEXANDER (Individual)	13055 FM 3522 ABILENE, TX 79601 (325) 548-9075		Non-Participating Provider	NO
1255002325	MARWAN ASWAD (Individual)	1365 BARROW ST ABILENE, TX 79605 (325) 480-4248	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255735882	THOMAS STEWARDSON (Individual)	12071 FM 3522 ROBERTSON DENTAL CLINIC ABILENE, TX 79601 (325) 548-9035		Non-Participating Provider	NO
1255840351	ABILENE ENDODONTICS, PC (Organization)	5849 BUFFALO GAP ROAD SUITE C ABILENE, TX 79606 (325) 704-5001		Non-Participating Provider	NO
1265039663	JAMES MCINTOSH (Individual)	5849 BUFFALO GAP RD STE C ABILENE, TX 79606 (325) 704-5001	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1265165096	DAVID LOREN HUTTON (Individual)	2150 S DANVILLE DR ABILENE, TX 79605 (325) 692-0332		Non-Participating Provider	NO
1265560692	JOHN LEVI ESTES (Individual)	1809 PINE ST ABILENE, TX 79601 (325) 677-2645	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life	Non-Participating Provider	NO
1275306110	KHOA TRAN, PLLC (Organization)	4 HOSPITAL DR ABILENE, TX 79606 (325) 437-3100		Non-Participating Provider	NO
1275603946	MODERN DENTAL PROFESSIONALS ABILENE PC MONARCH DENTAL (Organization)	3329 TURNER PLZ ABILENE, TX 79606 (325) 691-1980		Non-Participating Provider	NO
1275805129	RADHIKA KATRAGUNTA (Individual)	1365 BARROW ST ABILENE, TX 79605 (888) 988-4066	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1275832214	HIGHWAY 351, PC KOOL SMILES (Organization)	1784 STATE HIGHWAY 351 ABILENE, TX 79601 (678) 904-5665		Non-Participating Provider	NO
1285643718	TIMOTHY SIMPSON (Individual)	701 S WILLIS ST ABILENE, TX 79605 (325) 677-6553	Guardian	Non-Participating Provider	NO
1285848747	DENNIS EDWARD STELTON (Individual)	2333 WYNDHAM CT ABILENE, TX 79606 (325) 829-4566	Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1295000396	JEREMY WARD FIKE (Individual)	5849 BUFFALO GAP ROAD SUITE C ABILENE, TX 79606 (325) 704-5001	Guardian	Non-Participating Provider	YES
1295332393	JONATHAN P HAWLEY (Individual)	2423 BARROW ST ABILENE, TX 79605 (325) 692-0565		Non-Participating Provider	NO
1295916450	RYAN Q. GREEN (Individual)	1904 PINE ST SUITE 1-D ABILENE, TX 79601 (325) 232-8939		Non-Participating Provider	NO
1295959385	DAVID K HILLIARD (Individual)	5547 PEPPERGRASS LN ABILENE, TX 79606 (325) 692-0332		Non-Participating Provider	NO
1306087382	TECH TEETH, PLLC ABILENE PEDIATRIC DENTAL ASSOCIATES (Organization)	4741 BUFFALO GAP RD. ABILENE, TX 79606 (325) 695-3300	UnitedHealthcare	Non-Participating Provider	NO
1316083462	CHILDREN'S DENTISTRY OF ABILENE NORMAN P. POORMAN DDS (Organization)	2501 S WILLIS ST STE C ABILENE, TX 79605 (325) 692-9557	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1316304827	RYAN B GIBSON (Individual)	5849 BUFFALO GAP RD STE C ABILENE, TX 79606 (325) 704-5001	Ambetter from Meridian Ambetter Health Anthem Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare DENCAP Dental Plans Inc EMI Health Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1316360373	ABILEN ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PLLC (Organization)	4 HOSPITAL DR ABILENE, TX 79606 (325) 437-3100		Non-Participating Provider	NO
1316613177	LORNE WASYLUCHA (Individual)	4102 BUFFALO GAP RD STE L ABILENE, TX 79605 (325) 695-2015	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336293091	CHARLES R BLOOMER (Individual)	5200 BUFFALO GAP RD STE B ABILENE, TX 79606 (325) 691-1140	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Accepts Medicare	YES
1346624541	SANDEEP STEVENS (Individual)	1365 BARROW ST ABILENE, TX 79605 (888) 988-4066	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1346813425	KYLE KRAUSE (Individual)	3329 TURNER PLZ STE 110 ABILENE, TX 79606 (325) 691-1980	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376144915	PRATHYUSHA CHAVA (Individual)	3882 S CLACK ST ABILENE, TX 79606 (325) 695-1500	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396045647	JET DDS PA (Organization)	902 N 18TH ST ABILENE, TX 79601 (325) 675-6003		Non-Participating Provider	NO
1407920887	RICHARD STAN SMITH (Individual)	3525 YALE AVENUE ABILENE, TX 79603 (325) 676-9137		Non-Participating Provider	NO
1417162447	BARRY LYNN HOEFER (Individual)	2150 S DANVILLE DR ABILENE, TX 79605 (325) 690-0598		Non-Participating Provider	NO
1417401134	SHEDRACK OKOJIE (Individual)	1365 BARROW ST ABILENE, TX 79605 (325) 480-4248	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1427750181	OMAR DAHSHI (Individual)	4102 BUFFALO GAP RD STE F ABILENE, TX 79605 (325) 200-0866	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447315031	DAVID R SWENSON (Individual)	4601 BUFFALO GAP RD SUITE # C-1 ABILENE, TX 79606 (325) 692-9709		Non-Participating Provider	NO
1447974613	DR KANAGARLA AND ASSOCIATES PLLC (Organization)	3882 S CLACK ST ABILENE, TX 79606 (325) 695-1500	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1457836843	ALBERT CHRISTOPHER PARK (Individual)	2902 S 27TH ST ABILENE, TX 79605 (325) 268-0013		Non-Participating Provider	NO
1467652552	BLAKE EVERETT DAWES (Individual)	4373 TREANOR DR ABILENE, TX 79602 (325) 692-1580	TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1467866442	BRANDON WISELY (Individual)	1365 BARROW ST ABILENE, TX 79605 (888) 988-4066	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1477249290	PERMIAN BRACEIN, PLLC (Organization)	3781 CATCLAW DR ABILENE, TX 79606 (432) 770-6247		Non-Participating Provider	NO
1477790699	RICHARD P JOHNSEN (Individual)	4754 S 14TH ST ABILENE, TX 79605 (325) 777-0110	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1487312807	ABILENE FAMILY DENTAL PLLC (Organization)	3390 S 27TH ST ABILENE, TX 79605 (325) 695-0088		Non-Participating Provider	NO
1487974614	LACY GALLAWAY MANKIN (Individual)	1809 PINE ST ABILENE, TX 79601 (325) 677-2645	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Opted out of Medicare	YES
1497010235	LAUREN OGLESBY EDWARDS (Individual)	3109 S 27TH ST ABILENE, TX 79605 (325) 692-7670	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1508092909	GENE MARTIN SHELHAMER (Individual)	294 MEDICAL DRIVE ABILENE, TX 79601 (325) 513-3053		Non-Participating Provider	NO
1518519354	PREJITH PHILIP VARGHESE (Individual)	1365 BARROW ST ABILENE, TX 79605 (888) 988-4066	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Indiana Dominion National Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1528629664	JOHNATHON BOGARD (Individual)	4601 BUFFALO GAP RD STE D1 ABILENE, TX 79606 (325) 695-3300		Non-Participating Provider	NO
1528768702	KEY CITY KIDS DENTAL PLLC (Organization)	3781 CATCLAW DR ABILENE, TX 79606 (432) 699-3044		Non-Participating Provider	NO
1548666472	ADAM STEVEN AWTREY (Individual)	1109 N JUDGE ELY BLVD ABILENE, TX 79601 (325) 672-2794	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1548821358	ANDREW WILL TATE (Individual)	2501 BARROW ST ABILENE, TX 79605 (325) 692-0332	Guardian	Non-Participating Provider	NO
1558370502	SUSAN HILL PAYNE (Individual)	256 S LEGGETT DR ABILENE, TX 79605 (325) 672-9191		Non-Participating Provider	YES
1558856328	HOLLY ARDOIN (Individual)	4741 BUFFALO GAP RD ABILENE, TX 79606 (325) 437-5284	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568507887	JEANNE HANSEN BAYLESS (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568692937	AMY LEIGH SOJOURNER (Individual)	3109 S 27TH ST ABILENE, TX 79605 (325) 692-7670	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian	Non-Participating Provider	NO
1578020392	HIRA KHAN (Individual)	1365 BARROW ST ABILENE, TX 79605 (888) 988-4066	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1578236527	BONNER ORAL SURGERY, PLLC (Organization)	4 HOSPITAL DR ABILENE, TX 79606 (325) 437-3100		Non-Participating Provider	NO
1578277422	HABA ABDULLAH (Individual)	5309 BUFFALO GAP RD ABILENE, TX 79606 (325) 692-3344	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598810558	BART BOURLAND D.D.S., P.A. (Organization)	4601 BUFFALO GAP RD STE. D-1 ABILENE, TX 79606 (325) 695-3300		Non-Participating Provider	NO
1609045244	VICTOR LEE ORTHODONTICS, PLLC (Organization)	2209 S DANVILLE DR ABILENE, TX 79605 (325) 695-2040		Non-Participating Provider	NO
1609191634	JEFF M WEBB, DDS, PLLC (Organization)	1109 N JUDGE ELY BLVD ABILENE, TX 79601 (325) 672-2794		Non-Participating Provider	NO
1609591650	AMY L SOJOURNER DDS PLLC (Organization)	3109 S 27TH ST ABILENE, TX 79605 (325) 692-7670	Aetna CVS Health	Non-Participating Provider	NO
1609967819	RICHARD L. GORE (Individual)	4601 BUFFALO GAP RD STE C4 ABILENE, TX 79606 (325) 692-2423	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	YES
1609996503	JANE ESTES TINDOL (Individual)	902 N 18TH ST ABILENE, TX 79601 (325) 675-6003	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1629083555	STANLEY D. TURNER, DDS, PC (Organization)	3118 BUFFALO GAP RD ABILENE, TX 79605 (325) 698-3384		Non-Participating Provider	NO
1629239389	MICHAEL JASON ALEXANDER (Individual)	#5 WINDMILL CIRCLE ABILENE, TX 79606 (325) 692-3332	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Florida Combined Life	Opted out of Medicare	YES
1639459076	SUSAN PAYNE DDS (Organization)	2381 S 32ND STREET ABILENE, TX 79605 (325) 682-9191		Non-Participating Provider	NO
1659559441	VICTOR LEE (Individual)	2209 S DANVILLE DR ABILENE, TX 79605 (325) 695-2040		Non-Participating Provider	NO
1669024063	JORDAN WADE ARDOIN (Individual)	4741 BUFFALO GAP RD ABILENE, TX 79606 (325) 437-5284	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1669263513	CLOVE DENTAL PLLC (Organization)	5309 BUFFALO GAP RD ABILENE, TX 79606 (325) 692-3344		Non-Participating Provider	NO
1669543500	JAMES ALLEN NEECE (Individual)	2225 S DANVILLE DR SUITE 4 ABILENE, TX 79605 (325) 698-7070		Non-Participating Provider	NO
1669666798	DENTAL HEALTH ASSOCIATES OF TX, P.C. ABILENE DENTAL (Organization)	5309 BUFFALO GAP RD ABILENE, TX 79606 (325) 692-3344	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1679300594	TURNER DENTAL MOBILE PLLC (Organization)	3118 BUFFALO GAP RD ABILENE, TX 79605 (325) 698-3384		Non-Participating Provider	NO
1679680342	KAREN ELIZABETH SKORUPPA-KEY (Individual)	2201 S. DANVILLE DR. ABILENE, TX 79605 (325) 268-4095	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1679976872	DAREL ROBBINS (Individual)	13055 FM 3522 ABILENE, TX 79601 (325) 548-9075		Non-Participating Provider	NO
1689167116	TOTRINH TRAN (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1699260497	ABILENE DENTAL CARE SOUTH PLLC (Organization)	4102 BUFFALO GAP RD STE F ABILENE, TX 79605 (325) 200-4820	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1699915231	SOUTHWEST DENTAL CARE OF ABILENE, PLLC (Organization)	4601 BUFFALO GAP RD STE C4 ABILENE, TX 79606 (325) 692-2423		Non-Participating Provider	NO
1710117130	MARK RANGEL (Individual)	1665 ANTILLEY RD STE. 300 ABILENE, TX 79606 (325) 692-6300	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1710199377	SCOTT MARSHALL DOWELL (Individual)	4601 BUFFALO GAP RD SUITE A-3 ABILENE, TX 79606 (325) 437-3456		Non-Participating Provider	YES
1710361571	PALLAVI BORADE (Individual)	1365 BARROW ST ABILENE, TX 79605 (325) 480-4248	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1720434855	KHOA D TRAN (Individual)	4 HOSPITAL DR ABILENE, TX 79606 (325) 437-3100		Non-Participating Provider	NO
1730202011	ROBERT E WIGGINS (Individual)	200 SAYLES BLVD ABILENE, TX 79605 (325) 677-1041		Non-Participating Provider	NO
1730276387	RODNEY DALE FRIESENHAHN (Individual)	702 HICKORY ST ABILENE, TX 79601 (325) 675-6927	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1750501813	CHRISTIE MCADAMS LEEDY (Individual)	5309 BUFFALO GAP RD ABILENE, TX 79606 (325) 692-3344	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1750543641	MELANIE J LARSON (Individual)	2601 BARROW ST ABILENE, TX 79605 (325) 795-8880		Non-Participating Provider	NO
1750656328	VICTOR LEE ORTHODONTICS PLLC (Organization)	2209 S, DANVILLE ABILENE, TX 79605 (325) 695-2040		Non-Participating Provider	NO
1760011985	KETURAH A RICHARDSON (Individual)	602 HICKORY ST ABILENE, TX 79601 (325) 200-0925	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770260812	GARRETT STANLEY TURNER, DDS, PLLC (Organization)	3118 BUFFALO GAP RD ABILENE, TX 79605 (325) 698-3384		Non-Participating Provider	NO
1780727099	JOE M SHARP (Individual)	2025 PINE STREET ABILENE, TX 79601 (325) 672-5674		Non-Participating Provider	NO
1801389457	VICTORIA JILL TINDOL (Individual)	902 N 18TH ST ABILENE, TX 79601 (325) 675-6003	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1811033004	STANLEY MONTGOMERY SMITH (Individual)	3109 SOUTH 27TH STREET ABILENE, TX 79605 (325) 692-7670		Non-Participating Provider	NO
1811108806	BRIAN TOOGOOD (Individual)	3409 S 14TH ST STE. 110 ABILENE, TX 79605 (325) 692-1580	Guardian	Non-Participating Provider	YES
1811366214	FARHAN KHAN (Individual)	3882 S CLACK ST ABILENE, TX 79606 (325) 307-7730	Aetna CVS Health Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas Inc. Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1831197516	DOYLE SAM SPENCE (Individual)	3390 S 27TH ST ABILENE, TX 79605 (325) 695-0088		Opted out of Medicare	YES
1831827914	CONNOR WASYLUCHA (Individual)	4102 BUFFALO GAP RD STE F ABILENE, TX 79605 (325) 200-0866	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861778904	GARRETT TURNER (Individual)	3118 BUFFALO GAP RD ABILENE, TX 79605 (325) 698-3384	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1871298984	BRUNO ALEXANDER ESCALANTE (Individual)	1365 BARROW ST ABILENE, TX 79605 (214) 960-9751	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield DentaQuest USA Insurance Company Inc. Humana	Non-Participating Provider	NO
1871814178	JOHN LEVI ESTES (Individual)	1809 PINE ST ABILENE, TX 79601 (325) 677-2645	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life	Non-Participating Provider	NO
1871971317	ABBEVILLE DENTISTRY - ABILENE PLLC SMILE CRAFTERS ABILENE (Organization)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1881205961	ELIO MALE (Individual)	1365 BARROW ST ABILENE, TX 79605 (325) 480-4248	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881675767	CHERYL CORPUZ JOHNSON (Individual)	4741 BUFFALO GAP RD ABILENE, TX 79606 (325) 437-5284	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891302568	JACI RAE CAMPO (Individual)	2902 S 27TH ST ABILENE, TX 79605 (325) 692-1501		Non-Participating Provider	NO
1902021660	WILLIAM MARK SIVLEY (Individual)	3409 S 14TH ST STE 110 ABILENE, TX 79605 (325) 692-1580	Guardian	Non-Participating Provider	YES
1902938814	DAVID BROOM (Individual)	1109 N JUDGE ELY BLVD ABILENE, TX 79601 (325) 672-2794		Non-Participating Provider	NO
1902988926	KEVIN LEE CARLTON (Individual)	4601 BUFFALO GAP RD STE B10 ABILENE, TX 79606 (325) 692-7272		Non-Participating Provider	NO
1912896911	WARISAT WAHAB (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164		Non-Participating Provider	NO
1922017847	JERRY LEE GRIFFIN (Individual)	2501 MAPLE ST ABILENE, TX 79602 (325) 795-3298		Non-Participating Provider	NO
1922049246	GLEN DAVID HALL (Individual)	3374 S 27TH ST ABILENE, TX 79605 (325) 698-7560		Non-Participating Provider	YES
1922538073	NAKOOR AKSHATH RAI (Individual)	1365 BARROW ST ABILENE, TX 79605 (888) 988-4066	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1932232659	JEFFREY MICHAEL WEBB (Individual)	1109 N JUDGE ELY BLVD ABILENE, TX 79601 (325) 672-2794	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932479383	SIVLEY AND TOOGOOD, D.D.S. (Organization)	3409 S 14TH ST STE 110 ABILENE, TX 79605 (325) 692-1580		Non-Participating Provider	NO
1932883485	STEWART WHITE (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1942246095	PHILIP RALPH BARONE (Individual)	7 AMDS/SGPD DYESS AFB ABILENE, TX 79607 (325) 696-2304	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1942326145	DENNIS KEITH SAVAGE (Individual)	4102 BUFFALO GAP RD STE. L ABILENE, TX 79605 (325) 695-2015		Non-Participating Provider	NO
1942381009	GARY G LINN (Individual)	5200 BUFFALO GAP ROAD SUITE E ABILENE, TX 79606 (325) 691-1440		Non-Participating Provider	NO
1952315541	GUY CARLTON ROSSER (Individual)	602 HICKORY ST ABILENE, TX 79601 (325) 676-7707	Guardian	Non-Participating Provider	NO
1952482564	WES SOBEN (Individual)	4601 BUFFALO GAP RD STE. D-1 ABILENE, TX 79606 (325) 695-3300		Non-Participating Provider	YES
1952740409	PAUL RAY LAMBERT (Individual)	2233 S DANVILLE DR ABILENE, TX 79605 (325) 692-9557	Aetna CVS Health Cigna Healthcare Delta Dental Dominion National Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1962419697	MARK RICHMOND BULLOCK (Individual)	1034 N WILLIS ST ABILENE, TX 79603 (325) 673-8164	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1962754317	HIGHWAY 351 PC RESOLUTION DENTAL (Organization)	1784 STATE HIGHWAY 351 ABILENE, TX 79601 (770) 916-9000	Aetna CVS Health	Non-Participating Provider	NO
1972705135	TERRY TRUONG (Individual)	902 N 18TH ST ABILENE, TX 79601 (325) 675-6003	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992189674	TAWAPHAN W KELLY (Individual)	4754 S 14TH ST ABILENE, TX 79605 (325) 480-1524	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1992874457	LYNDI SMART (Individual)	3234 N 10TH ST ABILENE, TX 79603 (325) 677-2778	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Opted out of Medicare	YES

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