Dentist Providers In Brockton, Massachusetts

Search Dentist NPI records in Brockton, MA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Brockton, MA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 155, of which 45 are registered as organizations and 110 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.

71% Individuals

29% Organizations

32% Female

39% Male

71% Individual Providers (110)29% Medical Organizations (45)32% Female Providers (49)39% Male Providers (61)

Map of Providers

We have mapped the Dentist providers in Brockton, MA 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 Brockton, MA
NPI	Name	Address	Insurance	Medicare	PECOS
1013189158	JNEL INC (Organization)	715 CRESCENT ST BROCKTON, MA 02302 (508) 895-9100		Non-Participating Provider	NO
1013768621	ANN CATHRINE ONG (Individual)	715 CRESCENT ST BROCKTON, MA 02302 (774) 539-0461		Non-Participating Provider	NO
1023188364	THANH-TRANG TRANG NGUYEN (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	YES
1023363629	SHEINA JEAN-MARIE (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Florida Combined Life Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1033296009	JULIUS N COLES (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 584-2708		Non-Participating Provider	NO
1033892559	MACKENZIE PARK (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	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 Humana Paramount Paramount Dental	Non-Participating Provider	NO
1043567738	DIVYA ARORA (Individual)	772 BELMONT ST BROCKTON, MA 02301 (508) 580-8888	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1053155820	PATRICIA AUDATE (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 894-3681	Humana	Non-Participating Provider	YES
1053431361	JOHN P BLATZ JR DDS PC MASSASOIT DENTAL ASSOCIATES (Organization)	288 BELMONT STREET BROCKTON, MA 02301 (508) 583-0103		Non-Participating Provider	NO
1053487561	DRS CELLI AND FIELDS (Organization)	185 BELMONT STREET BROCKTON, MA 02301 (508) 586-2668		Non-Participating Provider	NO
1063015816	MATTHEW MANZI DMD PC (Organization)	288 BELMONT ST BROCKTON, MA 02301 (508) 583-0103	UnitedHealthcare	Non-Participating Provider	NO
1063277127	WILLIAM BENTON SWANSON (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield BEST Life Humana	Non-Participating Provider	NO
1063516250	GABRIELLA BABU (Individual)	839 PLEASANT ST BROCKTON, MA 02301 (508) 583-3530	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1073200820	PREMIER DENTISTRY, LLC (Organization)	348 N PEARL ST BROCKTON, MA 02301 (508) 584-6070	UnitedHealthcare	Non-Participating Provider	NO
1073613550	LAWRENCE ARTHUR TRUFANT (Individual)	940 BELMONT ST DENTAL 160 BROCKTON, MA 02301 (508) 583-4500		Non-Participating Provider	NO
1083665186	MICHAEL D KEEFE (Individual)	111 TORREY ST BROCKTON, MA 02301 (508) 583-6253		Non-Participating Provider	NO
1083765150	MAGDA BOLIVAR GAUL (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	NO
1083801419	HERO DENTAL OF BROCKTON, PA ADVENTURE DENTAL OF BROCKTON (Organization)	21TORREY BROCKTON, MA 02301 (719) 576-1850		Non-Participating Provider	NO
1083817902	ANANDA M. KANAKANALA (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	YES
1093264525	RAHUL MALIK DMD LLC (Organization)	601 PLEASANT ST BROCKTON, MA 02301 (205) 639-7259	UnitedHealthcare	Non-Participating Provider	NO
1093988073	MENACHEM D ROTH (Individual)	348 N PEARL ST SUITE 3 BROCKTON, MA 02301 (508) 584-1166	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1104677996	NOOR NASEER SALIH TWAIJ (Individual)	601 PLEASANT ST # 601 BROCKTON, MA 02301 (508) 980-3333		Non-Participating Provider	NO
1114002078	CARLOS JOO (Individual)	940 BELMONT ST BROCKTON, MA 02301 (774) 826-1160	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	NO
1114956315	MATHI THEVA (Individual)	200 WEST GATE DR SUITE 135 UNIDENT DENTAL CENTER BROCKTON, MA 02301 (508) 583-3840	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1124398169	YVES BETTY GATTEREAU (Individual)	63 MAIN ST BROCKTON NEIGHBORHOOD HEALTH CENTER BROCKTON, MA 02301 (508) 559-6699	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1124664925	BROCKTON DENTAL AND ORTHODONTICS PC (Organization)	231 MAIN ST STE 200 BROCKTON, MA 02301 (508) 232-6290	UnitedHealthcare	Non-Participating Provider	NO
1134596745	SHIVANI SHIRGAVI (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (508) 872-3325	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1144352931	COMMUNITY DENTISTRY, P.C (Organization)	704 N MAIN ST BROCKTON, MA 02301 (508) 583-5210		Non-Participating Provider	NO
1144498726	DENTAL DREAMS, LLC (Organization)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	UnitedHealthcare	Non-Participating Provider	NO
1154545507	JOHN P BLATZ (Individual)	288 BELMONT STREET BROCKTON, MA 02301 (508) 583-0103		Non-Participating Provider	YES
1164445060	ROBERT F THOMPSON (Individual)	930 CRESCENT ST BROCKTON, MA 02302 (508) 588-4940		Non-Participating Provider	NO
1164934352	ASIA GORDON (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1174196471	NIKITA ANNA NAUMOWICZ (Individual)	4 MAIN ST BROCKTON, MA 02301 (508) 587-7775	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
1174363154	MD ARIFUL ISLAM (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (347) 657-6937	BEST Life Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1184641136	GARY H MIKELS (Individual)	348 NORTH PEARL ST SUITE 1 BROCKTON, MA 02301 (508) 584-6070	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1184893737	YAMAN MOHAMAD KANA (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Humana Paramount Paramount Dental	Non-Participating Provider	YES
1194089821	MRUGANK SARDHARA (Individual)	907 MAIN ST BROCKTON, MA 02301 (630) 456-6334	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1205210416	MARGARET EMMA QUINTANILLA (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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	Non-Participating Provider	YES
1215074661	RAJEEV TRIKHA (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	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 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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1215225875	JAMES M. HELLER DMD (Organization)	1350 BELMONT ST BROCKTON, MA 02301 (508) 584-2500		Non-Participating Provider	NO
1225104748	RICHARD JOSEPH CELLI (Individual)	185 BELMONT STREET BROCKTON, MA 02301 (508) 586-2668	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	NO
1225107154	JEFFREY R. PARSONS (Individual)	830 OAK ST SUITE 101W BROCKTON, MA 02301 (508) 586-5445	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	NO
1225115470	SOUTHEASTERN ORAL & MAXILLOFACIAL SURGEONS PC (Organization)	951 NORTH MAIN STREET BROCKTON, MA 02301 (508) 588-0200	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1225441819	CREATIVE SMILES DENTAL CARE, PLLC (Organization)	907 MAIN ST BROCKTON, MA 02301 (630) 456-6334		Non-Participating Provider	NO
1225598758	BRANDON JACOB SAXE (Individual)	830 OAK ST STE 101W BROCKTON, MA 02301 (508) 586-5445		Non-Participating Provider	NO
1235212226	BROCKTON FAMILY DENTAL INC. (Organization)	4 MAIN ST BROCKTON, MA 02301 (508) 587-7775	UnitedHealthcare	Non-Participating Provider	NO
1235388273	AHMED EMAD ZAID (Individual)	698 CRESCENT ST, BROCKTON, MA 02302 (920) 838-1649		Non-Participating Provider	NO
1265565121	KATERINA ASADOVNA HENDERSON (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 584-2708	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 Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	YES
1275588956	PAUL MARTIN FITZGERALD (Individual)	1351 MAIN ST BROCKTON, MA 02301 (508) 587-2000	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	NO
1275628539	RICHARD MICHAEL GRAY (Individual)	940 BELMONT 160 ST BROCKTON VA MEDICAL CTR BROCKTON, MA 02401 (774) 826-2226		Non-Participating Provider	NO
1275720971	PHOENIX PC (Organization)	165 WESTGATE DR BROCKTON, MA 02301 (781) 335-8355		Non-Participating Provider	NO
1285767376	ROBERT JEFFREY TUCK (Individual)	567 PLEASANT ST BROCKTON, MA 02301 (508) 583-3377		Non-Participating Provider	NO
1295004083	EILEEN MARIE SAUNDERS (Individual)	4 MAIN ST BROCKTON, MA 02301 (508) 587-7775	Harvard Pilgrim Health Care Northeast Delta Dental	Non-Participating Provider	YES
1306855424	DON S SILBERMAN (Individual)	1245 BELMONT ST BROCKTON, MA 02301 (508) 586-4759	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	YES
1316118458	SIRI STEINLE (Individual)	1058 N MAIN ST BROCKTON, MA 02301 (508) 583-3171	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1316179351	ARCH ORTHODONTICS, PC (Organization)	348 N PEARL ST SUITE 3 BROCKTON, MA 02301 (508) 584-1166		Non-Participating Provider	NO
1326605767	KARINA ELEANOR CATRAMBONE (Individual)	830 OAK ST STE 101W BROCKTON, MA 02301 (508) 586-5445	Anthem Blue Cross and Blue Sheld 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	Accepts Medicare	YES
1326806654	MUHANNAD ABDULGHANI (Individual)	601 PLEASANT ST BROCKTON, MA 02301 (508) 980-3333		Non-Participating Provider	NO
1336203850	ARCH ORTHODONTICS (Organization)	348 N PEARL ST SUITE 3 BROCKTON, MA 02301 (508) 584-1166		Non-Participating Provider	NO
1336647783	DIANA CORREA (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 894-3681	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 Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	YES
1346240942	MARIA MAGDELENA TRAN (Individual)	715 CRESCENT ST BROCKTON, MA 02302 (774) 243-8592	Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1346338985	JAMES MICHAEL HELLER (Individual)	1350 BELMONT ST SUITE 110 BROCKTON, MA 02301 (508) 584-2500	Anthem Blue Cross and Blue Sheld 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 Humana	Non-Participating Provider	NO
1346725843	SHOBHIT AGARWAL (Individual)	165 WESTGATE DR BROCKTON, MA 02301 (508) 841-5353	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	Non-Participating Provider	YES
1356689582	ZOILA A PEREZ (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1356701007	ASHRAF MOHAMED NASER (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	Aetna CVS Health Anthem Blue Cross and Blue Sheld 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 Companion Life Insurance Company Dominion National Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1356756753	BEI LI (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	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 Humana Northeast Delta Dental Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1356882203	DO DENTAL CARE PC. GENTLECARE DENTISTRY (Organization)	792 N MAIN ST BROCKTON, MA 02301 (508) 565-8338		Non-Participating Provider	NO
1376278911	SAI NITHYA BAPUJI (Individual)	63 MAIN ST FL 4 BROCKTON, MA 02301 (508) 559-6699	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1386366151	XU YANG (Individual)	556 PLEASANT ST BROCKTON, MA 02301 (412) 818-1800	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1386913952	SAMEERA SALEEMUDDIN (Individual)	940 BELMONT ST BROCKTON, MA 02301 (774) 826-1160	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1396123642	FOR ALL AGES DENTAL ASSOCIATES FOR ALL AGES DENTAL ASSOCIATES (Organization)	478 TORREY ST SUITE 1 BROCKTON, MA 02301 (508) 586-1800	UnitedHealthcare	Non-Participating Provider	NO
1407932486	KAREN TERESA MARTIN-PHILLIPS (Individual)	478 TORREY ST UNIT 9 BROCKTON, MA 02301 (508) 584-1700	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1407933740	REBECCA DIANE MELE (Individual)	940 BELMONT ST BROCKTON, MA 02301 (774) 826-1160		Non-Participating Provider	YES
1437208584	JENIEVE PAUL (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (508) 588-8090	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 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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1447444344	SRIJAN MEHTA (Individual)	698 CRESCENT STREET BROCKTON, MA 02302 (508) 583-2256		Non-Participating Provider	NO
1447463872	NATALIYA VRUBEL (Individual)	839 PLEASANT ST DENTAL CENTER GABRIELLA BABU DMD BROCKTON, MA 02301 (508) 583-3530	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1457370504	BROCKTON ORAL & MAXILLOFACIAL SURGERY INC (Organization)	1351 MAIN ST BROCKTON, MA 02301 (508) 587-2000	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1457523573	DR. RASHMI SHAH (Organization)	1091 N MAIN ST BROCKTON, MA 02301 (508) 586-7866	UnitedHealthcare	Non-Participating Provider	NO
1457749699	M & CO LLC (Organization)	348 N PEARL ST BROCKTON, MA 02301 (508) 584-6070		Non-Participating Provider	NO
1477008951	MOHAMMAD HASSAN BARRA (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	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	NO
1477092997	HARRIS DENTAL ASSOCIATES HDA PC (Organization)	348 N PEARL ST SUITE 1 BROCKTON, MA 02301 (508) 584-6070		Non-Participating Provider	NO
1497069371	PAWANDEEP SINGH (Individual)	4 MAIN ST BROCKTON, MA 02301 (508) 587-7775	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1497118459	FRANCIS GUERRA (Individual)	641 BELMONT ST BROCKTON, MA 02301 (508) 583-3700	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	YES
1497575005	HASSAN ABDALLA MUSTAFA (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 894-3681		Non-Participating Provider	NO
1497788228	DAVID MARTIN FINSTEIN (Individual)	601 PLEASANT ST BROCKTON, MA 02301 (508) 586-2951	Anthem Blue Cross and Blue Sheld 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	NO
1508012402	NINAZ SHIVA (Individual)	4 MAIN ST BROCKTON, MA 02301 (508) 587-7792	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 Renaissance Dental	Non-Participating Provider	NO
1508035502	DR. KAREN MARTIN-PHILLIPS, DMD,PC (Organization)	478 TORREY ST UNIT 9 BROCKTON, MA 02301 (508) 584-1700	UnitedHealthcare	Non-Participating Provider	NO
1518910348	BRIAN GAUDREAULT (Individual)	841 BELMONT ST BROCKTON, MA 02301 (508) 587-8623	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1528287349	STEVEN NAGY (Individual)	165 WESTGATE DR BROCKTON, MA 02301 (617) 877-6152	Humana	Non-Participating Provider	NO
1528772373	MARIA L SEGURA DMD, PC (Organization)	304 PLEASANT ST BROCKTON, MA 02301 (508) 588-0094		Non-Participating Provider	NO
1538132956	RICHARD J CATRAMBONE (Individual)	830 OAK ST SUITE 101W BROCKTON, MA 02301 (508) 586-5445	Anthem Blue Cross and Blue Sheld 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 Humana UnitedHealthcare	Accepts Medicare	YES
1548296874	GRIGORY BABADUSTOV (Individual)	200 WESTGATE DRIVE STE E135 BROCKTON, MA 02301 (508) 583-3840	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1548339476	L. MICHAEL JUVET (Individual)	830 OAK ST SUITE 101W BROCKTON, MA 02301 (508) 586-5445	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Maybe Accepts Medicare	YES
1548350549	THOMAS Y CHANG (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1548613573	ALISON HUBBARD (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Humana Paramount Paramount Dental	Non-Participating Provider	YES
1558622753	JAY MURUGA THEVA (Individual)	200 WESTGATE DR STE 119 BROCKTON, MA 02301 (508) 583-3840	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	YES
1568512655	FULL SERVICE DENTAL HEALTH P.C. (Organization)	200 WESTGATE DR STE 2 BROCKTON, MA 02301 (508) 587-5333		Non-Participating Provider	NO
1568536811	EFRAIN S RUIZ (Individual)	304 PLEASANT ST BROCKTON, MA 02301 (508) 588-0094	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 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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1578939484	SABRINA A COOMBS (Individual)	1034 N MAIN ST BROCKTON, MA 02301 (508) 588-6964	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1598193971	A-ONE DENTAL P.C. (Organization)	772 BELMONT ST BROCKTON, MA 02301 (508) 580-8888	UnitedHealthcare	Non-Participating Provider	NO
1619919909	FIDELITO GABRIEL (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 Florida Combined Life Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1629231857	JATINDERJEET SIDHU (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (857) 492-6269	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1639342116	EFRAIN S. RUIZ (Organization)	304 PLEASANT ST BROCKTON, MA 02301 (508) 588-0094	UnitedHealthcare	Non-Participating Provider	NO
1639585631	ARACELI ROSAS-FERNANDEZ (Individual)	63 MAIN ST BROCKTON, MA 02301 (781) 664-7227	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 Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	NO
1639612336	METRO SOUTH DENTAL GROUP (Organization)	79 BYRON AVE BROCKTON, MA 02301 (781) 492-3389		Non-Participating Provider	NO
1649288515	LEONARD C LINDSAY (Individual)	1034 NO MAIN ST BROCKTON, MA 02301 (508) 588-6964	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	YES
1659658540	PARNEET KAUR HEER (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (508) 588-8090	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 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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1659915494	YILIN SHI (Individual)	556 PLEASANT ST BROCKTON, MA 02301 (508) 583-1218	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1669147682	HOODA PLLC (Organization)	165 WESTGATE DR BROCKTON, MA 02301 (508) 559-2300		Non-Participating Provider	NO
1669849816	KHUSHBOO JAIN (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (508) 588-8090	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 Florida Combined Life Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1679613418	JOAN PETROS (Individual)	336 PLEASANT STREET BROCKTON, MA 02301 (508) 588-3020		Non-Participating Provider	NO
1679838429	DANIELLE CULP (Individual)	698 CRESCENT ST DENTAL DREAMS, LLC BROCKTON, MA 02302 (617) 997-5492	Humana	Non-Participating Provider	NO
1689760688	BING LIU (Individual)	556 PLEASANT ST BROCKTON, MA 02301 (508) 583-1218	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1689885477	ROBERTS AND LIU DENTAL ASSOCIATES (Organization)	556 PLEASANT ST BROCKTON, MA 02301 (508) 583-1218		Non-Participating Provider	NO
1699704999	MATHI THEVA DMD PC UNIDENT DENTAL CENTER (Organization)	200 WEST GATE DR SUITE 135 BROCKTON, MA 02301 (508) 583-3840	UnitedHealthcare	Non-Participating Provider	NO
1699810812	VASILIOS VAGENAS (Individual)	5 TORREY STREET BROCKTON, MA 02301 (508) 586-4276	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	YES
1710391321	VICTOR YEH (Individual)	698 CRESCENT STREET BROCKTON, MA 02302 (508) 083-2256	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	Non-Participating Provider	NO
1710573910	MEDELLA DENTAL, PLLC (Organization)	1034 N MAIN ST BROCKTON, MA 02301 (508) 588-6964		Non-Participating Provider	NO
1720273402	TAKETO KANEYOSHI (Individual)	698 CRESCENT STREET BROCKTON, MA 02302 (508) 583-2256		Non-Participating Provider	NO
1720289648	RICKEY E SMITH (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 UnitedHealthcare	Non-Participating Provider	NO
1730211558	DON S SILBERMAN DMD PC (Organization)	1245 BELMONT ST BROCKTON, MA 02301 (508) 586-4759		Non-Participating Provider	NO
1740631209	WILLIAM NGUYEN (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (508) 588-8090	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1750458451	ORAL AND MAXILLOFACIAL SURGERY, INC. (Organization)	830 OAK ST SUITE 101W BROCKTON, MA 02301 (508) 586-5445	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1750669040	MICHELLE ARDZINSKI (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699	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 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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1750922670	KRUTI JHAVERI (Individual)	641 BELMONT ST BROCKTON, MA 02301 (508) 436-2756	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1750933867	ANNA EE SING WONG (Individual)	165 WESTGATE DR BROCKTON, MA 02301 (347) 382-0056	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1760569677	STEVEN EARL ROBERTS (Individual)	556 PLEASANT ST BROCKTON, MA 02301 (508) 583-1218		Non-Participating Provider	NO
1760585186	DANIEL DAVID WINKLER (Individual)	400 WEST ST BROCKTON, MA 02301 (508) 588-8886		Non-Participating Provider	YES
1760610026	BROCKTON DENTAL GROUP P.C. BROCKTON FAMILY DENTISTS (Organization)	231 MAIN ST SUITE #200 BROCKTON, MA 02301 (508) 588-8338		Non-Participating Provider	NO
1780009779	ARCH DENTAL CLINIC (Organization)	200 WESTGATE DR SUITE 2 BROCKTON, MA 02301 (508) 587-5333		Non-Participating Provider	NO
1780794347	SIRI C STEINLE DMD PC (Organization)	1058 NORTH MAIN ST BROCKTON, MA 02301 (508) 583-3171	UnitedHealthcare	Non-Participating Provider	NO
1790706356	MICHAEL LEWIS SHAPIRO (Individual)	838 PLEASANT ST BROCKTON, MA 02301 (508) 586-6002	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 UnitedHealthcare	Non-Participating Provider	YES
1801252739	PALLAVI DAHAKE (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (508) 588-8090	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 Florida Combined Life Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1801425228	HILARY BLAIR MCFADDEN (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (855) 979-7145	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1811018922	MARIA LUCIA SEGURA (Individual)	304 PLEASANT ST. BROCKTON, MA 02401 (508) 588-0094	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 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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1811063332	MICHAEL GEORGE FIELDS (Individual)	185 BELMONT ST BROCKTON, MA 02301 (508) 586-2668	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1811352537	ELITE DENTAL GROUP PC (Organization)	76 SOUTH ST BROCKTON, MA 02301 (508) 583-1772		Non-Participating Provider	NO
1821261322	DR. GABRIELLA BABU DR. GABRIELLA BABU (Organization)	839 PLEASANT ST BROCKTON, MA 02301 (508) 583-3530	UnitedHealthcare	Non-Participating Provider	NO
1831374222	GEETANJALI PUTHALPET (Individual)	200 WESTGATE DR SUITE 135 BROCKTON, MA 02301 (508) 583-3840	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1831675305	MARVA KHALID (Individual)	70 WESTGATE DR BROCKTON, MA 02301 (781) 854-1757	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
1851581243	BROCKTON SMILES YOUTH DENTISTRY, LLC (Organization)	70 WESTGATE DR BROCKTON, MA 02301 (508) 588-8090	UnitedHealthcare	Non-Participating Provider	NO
1861282832	DR. ERICA KLEINBAUM GUM DOC PLLC (Organization)	1245 BELMONT ST BROCKTON, MA 02301 (508) 586-4759		Non-Participating Provider	NO
1871225672	SETH ALAN KOCZELA (Individual)	4 MAIN ST BROCKTON, MA 02301 (508) 587-7775	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1891240719	XIAOQING YANG (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256	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 Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1891812210	RAQUEL BUENAVENTURA VILLAR (Individual)	63 MAIN ST BROCKTON, MA 02301 (508) 559-6699		Non-Participating Provider	YES
1902928146	RASHMI J SHAH (Individual)	1091 N MAIN ST BROCKTON, MA 02301 (508) 586-7866	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 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 Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1902947138	HATHAWAY ROAD DENTAL, PC CORTLAND DENTAL (Organization)	715 CRESCENT ST SUITE 9 BROCKTON, MA 02302 (678) 904-5665		Non-Participating Provider	NO
1912013368	DAVID STANLEY GOULD (Individual)	23 N PEARL ST BROCKTON, MA 02301 (508) 588-2320	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1912093766	MORRIS BARRY COHEN (Individual)	478 TORREY ST BROCKTON, MA 02301 (508) 586-1800		Non-Participating Provider	NO
1932886066	MARIO THEVENIN (Individual)	698 CRESCENT ST BROCKTON, MA 02302 (508) 583-2256		Non-Participating Provider	NO
1942463898	JOHNSON C MIIN (Individual)	1351 MAIN ST BROCKTON, MA 02301 (508) 587-2000		Non-Participating Provider	NO
1962566513	SANG K BAE (Individual)	4 MAIN ST BROCKTON, MA 02301 (617) 869-9077	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 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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1972140390	BELMONT FAMILY DENTAL CENTER OF BROCKTON (Organization)	185 BELMONT ST BROCKTON, MA 02301 (508) 586-2668		Non-Participating Provider	NO
1982076774	BILL VAGENAS, DMD, LLC VAGENAS DENTAL (Organization)	5 TORREY ST BROCKTON, MA 02301 (508) 586-4276		Non-Participating Provider	NO
1992893283	KENNY DURANDIS (Individual)	715 CRESCENT ST STE 9A BROCKTON, MA 02302 (508) 894-3001	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO

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