Dentist Providers In Brookline, Massachusetts

Search Dentist NPI records in Brookline, MA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Brookline, MA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 273, of which 91 are registered as organizations and 182 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.

67% Individuals

33% Organizations

30% Female

36% Male

67% Individual Providers (182)33% Medical Organizations (91)30% Female Providers (83)36% Male Providers (99)

Map of Providers

We have mapped the Dentist providers in Brookline, 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 Brookline, MA
NPI	Name	Address	Insurance	Medicare	PECOS
1003012766	ZACHARY U KANO (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445	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
1003966540	NEDA SHAH-HOSSEINI (Individual)	1577 BEACON ST BROOKLINE, MA 02446 (617) 734-8599	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
1013125731	NICKOLAY N LIPETSKER (Individual)	1247A BEACON ST BROOKLINE, MA 02446 (617) 566-5400	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
1013395359	BAHAR HOUSHMAND (Individual)	209 HARVARD ST BROOKLINE, MA 02446 (617) 870-6511	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1023687258	ENDODONTIC PRACTICE PARTNERS MA PLLC (Organization)	1 BROOKLINE PL STE 505 BROOKLINE, MA 02445 (617) 735-8500	UnitedHealthcare	Non-Participating Provider	NO
1023689130	DR. ZARRINA BABAKULOVA (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1033134945	SUSAN HAN (Individual)	1180 BEACON ST SUITE 2B BROOKLINE, MA 02446 (617) 277-4100	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
1033170899	RAMONA L. LEEMAN, DDS PC (Organization)	1051 BEACON ST SUITE 409 BROOKLINE, MA 02446 (617) 277-0033		Non-Participating Provider	NO
1033233713	LONGWOOD DENTAL GROUP (Organization)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445		Non-Participating Provider	NO
1033544168	AUDREY LAIMINS (Individual)	1684 BEACON ST BROOKLINE, MA 02445 (617) 232-7100	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
1033600952	LINDA PARK (Individual)	1443 BEACON ST BROOKLINE, MA 02446 (617) 232-8222	Ambetter from Arizona Complete Health 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	NO
1033867130	KATHRYN FORTH (Individual)	209 HARVARD ST STE 402 BROOKLINE, MA 02446 (617) 982-2980	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 UnitedHealthcare	Non-Participating Provider	YES
1043496219	NEAL H FLEISHER (Individual)	1443 BEACON ST BROOKLINE, MA 02446 (617) 232-8222		Non-Participating Provider	YES
1053328286	ALAN DAVID EPSTEIN (Individual)	1415 BEACON STREET SUITE 220 BROOKLINE, MA 02446 (617) 566-7378		Non-Participating Provider	YES
1053570275	KAYOKO OBARA (Individual)	77 POND AVE SUITE 103 BROOKLINE, MA 02445 (617) 739-3326	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	NO
1053666917	BORIS STEIN (Individual)	1443 BEACON STREET BROOKLINE, MA 02446 (617) 232-8222	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
1063446581	DANIEL MAURICE WHITEMAN (Individual)	8 ALTON PL SUITE ONE BROOKLINE, MA 02446 (617) 731-4746	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
1063541936	SALOMON AMAR (Individual)	284 HARVARD ST BROOKLINE, MA 02446 (617) 731-6767		Non-Participating Provider	YES
1063739217	HARVARD ST. DENTAL ASSOC,INC.PC (Organization)	364 HARVARD ST BROOKLINE, MA 02446 (617) 232-6188		Non-Participating Provider	NO
1073139184	AVA GHASSEMI (Individual)	209 HARVARD ST BROOKLINE, MA 02446 (617) 277-3127	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
1083346464	AMRO EL-SINAWI (Individual)	1626 BEACON ST BROOKLINE, MA 02446 (617) 250-8545	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1083620819	LAWRENCE L. PHAN (Individual)	1330 BEACON ST SUITE 353 BROOKLINE, MA 02446 (617) 734-6300	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
1083839435	MARIA LUISA GEORGAKLIS (Individual)	1908 BEACON ST BROOKLINE, MA 02445 (617) 277-5200	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
1083882716	LONGO DENTAL ASSOCIATES, P.C. (Organization)	1037 BEACON ST APT 2 BROOKLINE, MA 02446 (617) 738-7210		Non-Participating Provider	NO
1093917593	MARIAM GHAVAMIAN DMD, PC (Organization)	1247 BEACON ST BROOKLINE, MA 02446 (617) 738-0806		Non-Participating Provider	NO
1104364629	IVETA IONTCHEVE-BAREHMI DMD PC (Organization)	1842 BEACON ST STE 305 BROOKLINE, MA 02445 (617) 868-1516		Non-Participating Provider	NO
1104380526	SFRNSH LLC (Organization)	209 HARVARD ST STE 302 BROOKLINE, MA 02446 (617) 566-4108		Non-Participating Provider	NO
1114669223	RICHARD SHEN (Individual)	1842 BEACON ST STE 206 BROOKLINE, MA 02445 (617) 734-5868	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
1124169313	CAROLINA MUJICA (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Opted out of Medicare	YES
1124240783	NORTHEAST DENTAL ASSOCIATES (Organization)	1842 BEACON STREET SUITE 302 BROOKLINE, MA 02445 (617) 730-8989		Non-Participating Provider	NO
1134348006	IGOR ALEXIS LOZADA (Individual)	1297 BEACON ST BROOKLINE, MA 02446 (617) 566-1524	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 Florida Combined Life Humana	Non-Participating Provider	NO
1134456346	BROOKLINE DENTURE CENTER, LLC (Organization)	1842 BEACON ST BROOKLINE, MA 02445 (617) 738-1232		Non-Participating Provider	NO
1134458094	GERALD S. FINE, D.D.S. (Organization)	1223 BEACON ST BROOKLINE, MA 02446 (617) 731-6060		Non-Participating Provider	NO
1144369109	PEDIATRIC DENTAL ASSOCIATES OF BROOKLINE, PC (Organization)	1684 BEACON ST BROOKLINE, MA 02445 (617) 232-7100		Non-Participating Provider	NO
1154499432	GARY RONALD LOGIN (Individual)	209 HARVARD ST SUITE 402 BROOKLINE, MA 02446 (617) 277-0807	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
1154546463	ROBERT S. HUTNER (Individual)	40 CENTRE STREET BROOKLINE, MA 02446 (617) 264-9880	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
1154586410	DIANA PACZESNY (Individual)	99 POND AVE APT 708 BROOKLINE, MA 02445 (617) 935-1485		Non-Participating Provider	NO
1154627180	LAWRENCE L. PHAN, DMD, PC (Organization)	1330 BEACON ST SUITE 353 BROOKLINE, MA 02446 (617) 734-6300		Non-Participating Provider	NO
1164439345	BAIZHENG SONG (Individual)	1842 BEACON ST STE 306 BROOKLINE, MA 02445 (617) 264-9966	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
1164484598	DAVID ARTHUR CHERNIN (Individual)	284 HARVARD ST BROOKLINE, MA 02446 (617) 731-6767	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1174210603	ROYAL DENTAL BROOKLINE PLLC ROYAL DENTAL BOSTON (Organization)	1051 BEACON ST STE 306 BROOKLINE, MA 02446 (617) 608-3463		Non-Participating Provider	NO
1194323428	FARNAZ CHEHRAZI (Individual)	133 PARK ST APT 603 BROOKLINE, MA 02446 (510) 280-4965	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
1194945352	ARAM SIRAKIAN (Individual)	1842 BEACON STREET BROOKLINE, MA 02445 (617) 566-5445	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 Humana	Opted out of Medicare	YES
1205020260	MARC B EHRLICH (Individual)	1371 BEACON ST SUITE 201 BROOKLINE, MA 02446 (617) 566-2734	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
1205045804	IRENE F LIPETSKER (Individual)	1247A BEACON ST BROOKLINE, MA 02446 (617) 566-5300	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
1205902798	POPO ISA CHUI (Individual)	1051 BEACON ST SUITE 102 BROOKLINE, MA 02446 (617) 566-2337	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
1215637525	STEPHANIE LEE (Individual)	21 LONGWOOD AVE BROOKLINE, MA 02446 (617) 738-0806	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1225160112	BARRY BESSLER (Individual)	1540 BEACON STREET BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1225233778	ROSHANAK GHAZINOURI (Individual)	1037 BEACON ST SUITE 2A BROOKLINE, MA 02446 (617) 738-7210	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1235145442	RASOOL & SHAH HOSSEINI INC BROOKLINE DENTAL CENTER (Organization)	1199 BEACON ST UNIT 1 BROOKLINE, MA 02446 (617) 734-8599		Non-Participating Provider	NO
1235202979	MARIAM GHAVAMIAN (Individual)	1247 BEACON ST BROOKLINE, MA 02446 (617) 738-0806	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1235330465	LIHUA ZHANG (Individual)	1842 BEACON ST STE 206 BROOKLINE, MA 02445 (617) 734-5868	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
1235486689	MEDIOUNI DMD PC (Organization)	1051 BEACON ST BROOKLINE, MA 02446 (617) 959-4429		Non-Participating Provider	NO
1235848706	BROOKLINE FAMILY DENTISTRY (Organization)	81 SCHOOL ST BROOKLINE, MA 02446 (617) 731-2329		Non-Participating Provider	NO
1245541200	HEATHER ARLENE COUBROUGH (Individual)	1037 BEACON STREET SUITE 2 BROOKLINE, MA 02446 (617) 738-7210		Non-Participating Provider	YES
1245551258	CINDY LEUNG (Individual)	189 BABCOCK ST BROOKLINE, MA 02446 (617) 319-3325	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	NO
1245569227	XINHAI YANG, DMD QUALITY DENTAL CARE (Organization)	1842 BEACON ST SUITE 306 BROOKLINE, MA 02445 (617) 264-9966		Non-Participating Provider	NO
1255493722	NEWTON WELLESLEY ORAL SURGERY (Organization)	1330 BEACON ST SUITE 344 BROOKLINE, MA 02446 (617) 277-6700		Non-Participating Provider	NO
1255511192	IAN JAY FESSLER (Individual)	1037 BEACON ST # A BROOKLINE, MA 02446 (617) 232-1575		Non-Participating Provider	YES
1255748919	PLEASANT DENTAL LLC (Organization)	1318 BEACON ST STE 20 BROOKLINE, MA 02446 (617) 975-3399		Non-Participating Provider	NO
1255954178	CITIDENTAL BROOKLINE PLLC (Organization)	637 WASHINGTON ST STE 210 BROOKLINE, MA 02446 (617) 566-4420		Non-Participating Provider	NO
1265416549	ELZEH MARYANN DARROUDI (Individual)	1037 BEACON ST BROOKLINE, MA 02446 (617) 277-4445		Non-Participating Provider	NO
1265435028	ADAM ORDEN (Individual)	1330 BEACON ST STE 344 BROOKLINE, MA 02446 (617) 277-6700	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 Renaissance Dental	Non-Participating Provider	NO
1265589790	KENNETH LLOYD KROWNE (Individual)	209 HARVARD STREET SUITE 307 BROOKLINE, MA 02446 (617) 734-8300		Non-Participating Provider	YES
1265678908	CHRISTINE NOEL KIRK (Individual)	1425 BEACON ST BROOKLINE, MA 02446 (617) 731-3364		Non-Participating Provider	YES
1275294233	CARLOS ALBERTO THOMAS (Individual)	1199 BEACON ST BROOKLINE, MA 02446 (617) 734-8599		Non-Participating Provider	NO
1275602112	MARSHA SHAHNOVICH (Individual)	1149 BEACON ST BROOKLINE, MA 02446 (617) 739-4700	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	Opted out of Medicare	YES
1275730848	BILLY PAPADOPOULOS (Individual)	1371 BEACON ST BROOKLINE, MA 02446 (617) 738-0700		Non-Participating Provider	NO
1275733263	MARIAM GHAVAMIAN DMD PC (Organization)	21 LONGWOOD AVE BROOKLINE, MA 02446 (617) 738-0806		Non-Participating Provider	NO
1285924381	MARIA A. MOSER DMD PC (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1285943795	DR. MIRA ZINGER AND ASSOCIATES (Organization)	81 SCHOOL ST BROOKLINE, MA 02446 (617) 731-2329		Non-Participating Provider	NO
1295279073	RYAN K MAY LLC (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1295280972	DAVID ROBBINS (Individual)	320 WASHINGTON ST BROOKLINE, MA 02445 (617) 860-3640	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
1295796878	MYRON S. BASS (Individual)	1691 BEACON ST BROOKLINE, MA 02445 (617) 739-1480	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
1295936086	GEORGE A MARYNIUK (Individual)	209 HARVARD ST SUITE 302 BROOKLINE, MA 02446 (617) 566-4108		Non-Participating Provider	NO
1306235064	GABRIEL BOUSTANI DMD PC (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1306352026	MAHDIEH BEHESHTI (Individual)	209 HARVARD ST FL 2 BROOKLINE, MA 02446 (617) 731-5437	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	NO
1316619216	LULJETA ISEDISHA (Individual)	1199 BEACON ST BROOKLINE, MA 02446 (617) 734-8599	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
1326065152	MELVIN GLUSKIN (Individual)	1712 BEACON ST BROOKLINE, MA 02445 (617) 277-0701	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
1326200171	CHRISTINA HSU (Individual)	17 STRATHMORE RD APT 2 BROOKLINE, MA 02445 (646) 327-3152	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 Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1326419524	BROOKLINE DENTAL ASSOCIATES LLC (Organization)	209 HARVARD ST STE 502 BROOKLINE, MA 02446 (617) 731-1200		Non-Participating Provider	NO
1326748625	GI HUH (Individual)	1037A BEACON ST BROOKLINE, MA 02446 (617) 232-1515		Non-Participating Provider	NO
1336391259	ANDREW J. MELCER (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1336732726	LIZA ISAAC (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950	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
1346319274	BORIS URMAN (Individual)	1149 BEACON ST BROOKLINE, MA 02446 (617) 739-4700	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Opted out of Medicare	YES
1346654316	SMILE INSTITUTE PC (Organization)	1842 BEACON ST SUITE 401 BROOKLINE, MA 02445 (781) 248-0053		Non-Participating Provider	NO
1356685275	PETER BRZOZA, LLC (Organization)	1284 BEACON STREET APT# 202 BROOKLINE, MA 02446 (347) 496-2087		Non-Participating Provider	NO
1356910145	ASCEND DENTAL STUDIO PLLC (Organization)	1051 BEACON ST STE 408 BROOKLINE, MA 02446 (617) 731-1118	UnitedHealthcare	Non-Participating Provider	NO
1366659948	ALEXANDER A VERBITSKY (Individual)	1415 BEACON ST #321 BROOKLINE, MA 02446 (617) 739-0626	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
1376267591	NOROC LLC (Organization)	1223 BEACON ST STE C BROOKLINE, MA 02446 (781) 640-0915	UnitedHealthcare	Non-Participating Provider	NO
1376505669	GEORGIOS D. VESSIROPOULOS (Individual)	1037 BEACON ST # A BROOKLINE, MA 02446 (617) 232-1515	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1376573592	WHITEMAN DENTAL ASSOCIATES (Organization)	8 ALTON PL SUITE ONE BROOKLINE, MA 02446 (617) 731-4746		Non-Participating Provider	NO
1376692780	RONALD S SEGAL (Individual)	1712 BEACON ST BROOKLINE, MA 02445 (161) 756-6734		Non-Participating Provider	NO
1376711366	WAI C LEE (Individual)	1368 BEACON ST SUITE 105 BROOKLINE, MA 02446 (617) 232-3995	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
1376884130	RACHEL GENTZ (Individual)	154 HARVARD ST APT 7 BROOKLINE, MA 02446 (734) 645-9049	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386086213	KARISSA RAE KOSTER (Individual)	1842 BEACON ST SUITE 401 BROOKLINE, MA 02445 (617) 860-6333	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
1396581096	SOO JIN LEE, DMD, PLLC BOSTON TMJ AND OROFACIAL PAIN (Organization)	1318 BEACON ST STE 1 BROOKLINE, MA 02446 (857) 858-0246		Non-Participating Provider	NO
1396883211	MICHAEL J. BURNES, DMD (Organization)	209 HARVARD ST SUITE #300 BROOKLINE, MA 02446 (617) 277-3127		Non-Participating Provider	NO
1407076763	LAWRENCE VICTOR (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445		Non-Participating Provider	NO
1407611221	NHOMS, PLLC (Organization)	1330 BEACON ST STE 344 BROOKLINE, MA 02446 (617) 277-6700	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1407690563	CHANTAL CHAMMAS (Individual)	364 HARVARD ST BROOKLINE, MA 02446 (617) 232-6188	Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1407817141	JOHN FICARELLI (Individual)	1684 BEACON ST BROOKLINE, MA 02445 (617) 232-7100	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
1407932882	JOSEPH ALAN SASSON (Individual)	12 WEBSTER ST BROOKLINE, MA 02446 (617) 739-1017	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
1407952245	TINA L WANG (Individual)	ONE BROOKLINE PLACE SUITE 506 DRS THIEL RUBIN WANG INC BROOKLINE, MA 02445 (617) 735-8660	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
1407968613	KENNETH B THOMASES (Individual)	1203 BEACON ST BROOKLINE, MA 02446 (617) 232-8113		Non-Participating Provider	NO
1417026584	MY DENTIST (Organization)	1297 BEACON ST BROOKLINE, MA 02446 (617) 566-1524		Non-Participating Provider	NO
1417144965	ELITE DENTAL, INC. (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1417165424	DAVID GORDON (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1427204833	EDWARD K BROWN (Individual)	20 STEARNS RD APT 63 BROOKLINE, MA 02446 (215) 868-4062	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
1427266253	DR LEUNG ASSOCIATES (Organization)	1051 BEACON ST UNIT 102 BROOKLINE, MA 02446 (617) 566-2337		Non-Participating Provider	NO
1427629807	JOO YEON CHOI (Individual)	1682 BEACON ST BROOKLINE, MA 02445 (617) 397-3958	Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1427729649	LIU & ASSOCIATES (Organization)	1318 BEACON ST STE 20 BROOKLINE, MA 02446 (617) 975-3399		Non-Participating Provider	NO
1427801166	MYAGMARJAV DASHNYAM (Individual)	1037A BEACON ST BROOKLINE, MA 02446 (617) 958-7365	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1437463312	BROOKLINE ORTHODONTIC ASSOCIATES (Organization)	323 BOYLSTON ST # 2-104 BROOKLINE, MA 02445 (617) 566-1775		Non-Participating Provider	NO
1437562972	MARY HANNA GHATTAS (Individual)	1247 BEACON ST BROOKLINE, MA 02446 (617) 738-0806	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 Renaissance Dental	Non-Participating Provider	NO
1447242078	BRETT A. PAREDES (Individual)	209 HARVARD ST FL 2 BROOKLINE, MA 02446 (617) 731-5437	Aetna CVS Health 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1447254966	JUSTINE R KELLEY (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1447335518	DRS BURTON GOLDFARB & DANIEL GOLDFARB, DMD, PC THE DENTAL OFFICE AT 367 HARVARD ST. (Organization)	367 HARVARD ST BROOKLINE, MA 02446 (617) 277-1112		Non-Participating Provider	NO
1447475884	LINDA ROSE MARINELLO (Individual)	1678 BEACON ST BROOKLINE, MA 02445 (617) 566-1007	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
1447795141	ZENA AL-ADEEB DMD PC (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 935-1953		Non-Participating Provider	NO
1457469520	ANNE LUKRETIA WUCHERPFENNIG (Individual)	1199 BEACON ST LOWER LEVEL BROOKLINE, MA 02446 (617) 734-8599	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
1457499220	ROYA ZANDPARSA (Individual)	1051 BEACON ST STE 514 BROOKLINE, MA 02446 (617) 608-3463	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
1457729279	ANTHONY JAMES GUINN (Individual)	1077 BEACON ST APT 8 BROOKLINE, MA 02446 (616) 822-2373	Delta Dental of Michigan Guardian	Non-Participating Provider	NO
1457868044	CROWN CENTERS LLC CORON DENTAL (Organization)	1626 BEACON ST BROOKLINE, MA 02446 (781) 366-4002		Non-Participating Provider	NO
1467026799	YAEL FRYDMAN DMD PC (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1467651182	WESLEY BARTON (Individual)	1560 BEACON ST BROOKLINE, MA 02446 (617) 731-5437	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
1467653527	IRINA DERESH (Individual)	1720 BEACON ST BROOKLINE, MA 02445 (617) 734-5516	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	NO
1467681502	BROOKLINE ENDODONTIC ASSOCIATES, P.C. (Organization)	1 BROOKLINE PLACE SUITE 505 BROOKLINE, MA 02445 (617) 735-8500		Non-Participating Provider	NO
1477133239	EVANEET SIDHU (Individual)	209 HARVARD ST BROOKLINE, MA 02446 (617) 744-7001		Non-Participating Provider	YES
1477982635	RUSSELL HAYWOOD TAYLOR (Individual)	1180 BEACON ST FL 5 BROOKLINE, MA 02446 (617) 277-4100	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
1487615233	ORA ZAWEL (Individual)	1051 BEACON ST SUITE 409 BROOKLINE, MA 02446 (617) 277-0033		Non-Participating Provider	NO
1487675278	ROBERT J MALONEY (Individual)	1051 BEACON ST SUITE 204 BROOKLINE, MA 02446 (617) 566-7181		Non-Participating Provider	YES
1487796934	MARK ROY THOMASES (Individual)	1247A BEACON ST BROOKLINE, MA 02446 (617) 566-0103		Non-Participating Provider	NO
1508520925	SANIKA NAYYAR (Individual)	1265 BEACON ST APT 603 BROOKLINE, MA 02446 (650) 285-7891	Ambetter from NH Healthy Families Anthem Blue Cross and Blue Sheld 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1518049196	THE CENTER FOR PEDIATRIC DENTAL CARE (Organization)	1560 BEACON ST 3RD FLOOR BROOKLINE, MA 02446 (617) 731-5437		Non-Participating Provider	NO
1518067529	MICHAEL DIPACE (Individual)	209 HARVARD ST #303 BROOKLINE, MA 02246 (617) 734-2200	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
1518081389	BERDJ KILADJIAN (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Humana	Non-Participating Provider	YES
1518212885	DHWANI UPADHYAY (Individual)	1051 BEACON ST STE 306 BROOKLINE, MA 02446 (617) 608-3463	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	YES
1518220045	OG GROUPS, PLLC OG DENTAL GROUP (Organization)	40 CENTRE ST SUITE #1 BROOKLINE, MA 02446 (617) 505-6530		Non-Participating Provider	NO
1518451103	SOO JIN LEE (Individual)	1318 BEACON ST STE 1 BROOKLINE, MA 02446 (857) 858-0246	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 Guardian Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Accepts Medicare	YES
1518505858	POOJAN DHANESHA (Individual)	185 WINCHESTER ST BROOKLINE, MA 02446 (617) 369-2983	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
1518554948	42 NORTH DENTAL CARE, LLC THE CENTER FOR PEDIATRIC DENTAL CARE AND ORTHODONTICS (Organization)	209 HARVARD ST BROOKLINE, MA 02446 (617) 731-5437		Non-Participating Provider	NO
1528255510	CLEVELAND CIRCLE DENTAL ASSOC., INC (Organization)	1908 BEACON ST BROOKLINE, MA 02445 (617) 277-5200		Non-Participating Provider	NO
1528722188	LONGWOOD DENTAL PLLC (Organization)	12 WEBSTER ST BROOKLINE, MA 02446 (617) 274-8528		Non-Participating Provider	NO
1538213079	THOMAS JAMES FORD (Individual)	209 HARVARD STREET SUITE 206 BROOKLINE, MA 02446 (617) 277-0180	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
1538278510	BROOKLINE PERIODENTAL ASSOC (Organization)	1443 BEACON ST BROOKLINE, MA 02446 (617) 232-8222		Non-Participating Provider	NO
1538327879	RAYMOND NG (Individual)	217 KENT ST APT 7 BROOKLINE, MA 02446 (617) 455-8374		Non-Participating Provider	NO
1538380829	DANA LAZOWSKI (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445	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 Humana	Non-Participating Provider	YES
1548903909	SMILE SOLUTION SPECIALIST (Organization)	1051 BEACON ST STE 409 BROOKLINE, MA 02446 (617) 277-0033		Non-Participating Provider	NO
1548915911	BROOKLINE DENTAL STUDIO (Organization)	1247A BEACON ST BROOKLINE, MA 02446 (617) 566-5400		Non-Participating Provider	NO
1558364521	RAMONA L. LEEMAN (Individual)	1051 BEACON ST STE 409 BROOKLINE, MA 02446 (617) 277-0033		Non-Participating Provider	NO
1558419721	BRUCE ZABINSKY (Individual)	1678 BEACON ST BROOKLINE, MA 02445 (617) 734-9360		Non-Participating Provider	NO
1558451914	PAUL C KUO (Individual)	209 HARVARD ST SUITE 405 BROOKLINE, MA 02446 (617) 566-8800	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
1558874172	BEACON ORTHODONTIC ASSOCIATES, P.C. (Organization)	651 WASHINGTON ST STE 100 BROOKLINE, MA 02446 (617) 738-4746		Non-Participating Provider	NO
1568756294	RITA YOSHPE DMD PC (Organization)	320 WASHINGTON ST BROOKLINE, MA 02445 (617) 584-6281		Non-Participating Provider	NO
1578263331	SHU DENG (Individual)	3 HARVARD AVE BROOKLINE, MA 02446 (617) 331-3701	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
1578584413	BEACON PLACE DENTAL GROUP (Organization)	1371 BEACON ST BROOKLINE, MA 02446 (617) 738-0700		Non-Participating Provider	NO
1578628426	SILVIA PONCE (Individual)	1051 BEACON ST SUITE 408 BROOKLINE, MA 02446 (617) 731-1118	Anthem Blue Cross and Blue Sheld	Non-Participating Provider	NO
1578723847	HYEJIN KWAK (Individual)	1203 BEACON ST BROOKLINE, MA 02446 (617) 232-8113		Non-Participating Provider	NO
1578976890	MINNA Y KACHKA (Individual)	1223 BEACON ST STE C BROOKLINE, MA 02446 (617) 487-8124	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
1588055925	BEACON FAMILY DENTAL (Organization)	1691 BEACON ST SUITE 104 BROOKLINE, MA 02445 (617) 738-6188		Non-Participating Provider	NO
1609072891	HYMAN SMUKLER (Individual)	1371 BEACON ST BROOKLINE, MA 02446 (617) 738-0700		Non-Participating Provider	NO
1609306901	XIAOPING CHERI LI (Individual)	1037 BEACON ST # A BROOKLINE, MA 02446 (617) 232-1515	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
1609991108	PETER JURIANSZ (Individual)	33 POND AVE #103 BROOKLINE, MA 02445 (617) 731-3888	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
1609993757	CARLOS CASTRO-B., D.M.D. (Organization)	1 BROOKLINE PL SUITE 420 BROOKLINE, MA 02445 (617) 277-9800		Non-Participating Provider	NO
1619059961	JAMES NICHOLAS THIEL (Individual)	ONE BROOKLINE PLACE SUITE 506 DRS THIEL RUBIN WANG INC BROOKLINE, MA 02445 (617) 735-8660	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
1619156171	CAROLINE B. FARIS (Individual)	1425 BEACON ST BROOKLINE, MA 02446 (617) 731-3364	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
1619158474	RASOOL & SHAH HOSSEINI INC BROOKLINE DENTAL CENTER (Organization)	1678 BEACON STREET BROOKLINE, MA 02445 (617) 734-9360		Non-Participating Provider	NO
1619629177	ROOTED DENTAL COMPANY PLLC (Organization)	1371 BEACON ST BROOKLINE, MA 02446 (617) 566-2734		Non-Participating Provider	NO
1619916350	DANIEL AARON GOLDFARB (Individual)	367 HARVARD ST BROOKLINE, MA 02446 (617) 277-1112	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
1619952215	BROOKLINE ENDODONTICS, P.C. ENDODONTICS (Organization)	1 BROOKLINE PL SUITE 505 BROOKLINE, MA 02445 (617) 735-8500		Non-Participating Provider	NO
1629123120	MINGFANG SU (Individual)	1330 BEACON ST STE 247 BROOKLINE, MA 02446 (617) 738-8033	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
1629181441	SARA STOCK (Individual)	1425 BEACON ST BROOKLINE, MA 02446 (617) 731-3364		Non-Participating Provider	NO
1629754346	FERNANDA BEHZADI (Individual)	364 HARVARD ST # 1C BROOKLINE, MA 02446 (617) 232-6188	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Florida Combined Life Humana	Non-Participating Provider	NO
1639195134	JEFFREY E KOTKIN (Individual)	1223 BEACON ST BROOKLINE, MA 02446 (617) 738-9525		Non-Participating Provider	NO
1639275241	SANDRA SUNG YOON CHOO-STEVO (Individual)	1425 BEACON ST BROOKLINE, MA 02446 (617) 731-3364		Non-Participating Provider	NO
1649284126	JOSEPH J WILLIAMS (Individual)	1 BROOKLINE PL SUITE 505 BROOKLINE, MA 02445 (617) 735-8500		Non-Participating Provider	NO
1649335282	SHARI N. LISANN (Individual)	651 WASHINGTON STREET SUITE 100 BROOKLINE, MA 02446 (617) 738-4746	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
1649477845	NICOLAE DUMITRIU PC (Organization)	1682 BEACON ST BROOKLINE, MA 02445 (617) 461-1178		Non-Participating Provider	NO
1649601311	KHALED MOATAZ EL RAFIE (Individual)	1203 BEACON ST SUITE 1 BROOKLINE, MA 02446 (617) 232-8113		Non-Participating Provider	NO
1649654286	HYUNG JOON KIM (Individual)	1626 BEACON ST BROOKLINE, MA 02446 (617) 250-8545	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	YES
1649924721	SMILE SOLUTIONS (Organization)	1051 BEACON ST STE 409 BROOKLINE, MA 02446 (617) 277-0033	UnitedHealthcare	Non-Participating Provider	NO
1649957267	BOYOUNG HAN (Individual)	364 HARVARD ST # 1C BROOKLINE, MA 02446 (617) 232-6188	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	YES
1659425924	RONALD MARTIN FRIED (Individual)	1443 BEACON ST BROOKLINE, MA 02446 (617) 232-8222	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
1659753598	NATHALIE GAL (Individual)	637 WASHINGTON ST SUITE 210 BROOKLINE, MA 02446 (617) 566-4420	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
1669482923	HALEH AZAR (Individual)	3 HARVARD AVE BROOKLINE, MA 02446 (617) 738-5174		Non-Participating Provider	NO
1669785994	HALEH AZAR, D.M.D., P.C. BROOKLINE FAMILY DENTAL (Organization)	3 HARVARD AVE BROOKLINE, MA 02446 (617) 738-5000		Non-Participating Provider	NO
1669938130	MILAGROS SERRANO DDS, PC (Organization)	1842 BEACON ST STE 303 BROOKLINE, MA 02445 (617) 734-9494	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1679310858	BROOKLINE DENTAL ESTHETICS, PLLC (Organization)	1682 BEACON ST BROOKLINE, MA 02445 (646) 342-3951		Non-Participating Provider	NO
1679534028	ANNAMARIE DEFEO (Individual)	1684 BEACON ST BROOKLINE, MA 02445 (617) 232-7100	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
1679594543	MY DENTIST, LLC (Organization)	1297 BEACON ST BROOKLINE, MA 02446 (617) 566-1524		Non-Participating Provider	NO
1679742035	MARIA ANGELA V. CANCADO (Individual)	55 SEWALL AVE APT 3A BROOKLINE, MA 02446 (617) 407-4389	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
1689431397	YUN YOUNG CHO (Individual)	2 BROOKLINE PL BROOKLINE, MA 02445 (161) 735-5600	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1689658114	CLIFTON C GEORGAKLIS (Individual)	1908 BEACON ST BROOKLINE, MA 02445 (617) 277-5200	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
1689685836	EDWARD NEIL FRIEDMAN (Individual)	50 LONGWOOD AVE APT 1014 BROOKLINE, MA 02446 (617) 738-9293		Non-Participating Provider	YES
1699112151	STANISLAV KOVTUN (Individual)	185 HARVARD ST BROOKLINE, MA 02446 (617) 274-8494	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
1699789115	KEVIN L PETERSON (Individual)	1 BROOKLINE PL SUITE 505 BROOKLINE, MA 02445 (617) 735-8500	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
1699814756	SHUBHA NANDA (Individual)	367 HARVARD ST BROOKLINE, MA 02446 (617) 277-1112	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
1699836437	THEODORE SWERDLICK (Individual)	389 HARVARD ST BROOKLINE, MA 02446 (617) 738-1200	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
1700897352	MIRA ZINGER (Individual)	81 SCHOOL ST BROOKLINE, MA 02446 (617) 731-2329	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
1710184395	MARIA DELL PILAR SANCHEZ PAPADOPOULOS (Individual)	1371 BEACON ST BROOKLINE, MA 02446 (617) 738-0700		Non-Participating Provider	NO
1720461189	SAHARA DENTAL CENTER (Organization)	364 HARVARD ST # C1 BROOKLINE, MA 02446 (617) 232-6188	UnitedHealthcare	Non-Participating Provider	NO
1720618663	DENTAL PARTNERS OF BROOKLINE (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1730555947	YO-WEI CHEN (Individual)	1318 BEACON ST STE 20 BROOKLINE, MA 02446 (617) 975-3399	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
1740216084	GABRIEL BOUSTANI (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1740373984	ARNOLD I WEISS (Individual)	1560 BEACON ST 3RD FLOOR BROOKLINE, MA 02446 (617) 731-5437		Non-Participating Provider	NO
1740391077	ROBERT GUEN (Individual)	1035A BEACON STREET BROOKLINE, MA 02446 (617) 232-2700	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
1750549663	RONEN KRAUSZ (Individual)	209 HARVARD ST FL 2 BROOKLINE, MA 02446 (617) 731-5437	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	Non-Participating Provider	NO
1750917480	XIXI ZHOU (Individual)	33 POND AVE STE 100 BROOKLINE, MA 02445 (617) 383-6593	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
1760836936	LEILA EL-YOUSSEF SUWWAN (Individual)	1330 BEACON ST STE 353 BROOKLINE, MA 02446 (617) 734-6300	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
1770174708	MY BROOKLINE ORTHODONTIST, PC (Organization)	1170 BEACON ST BROOKLINE, MA 02446 (508) 872-3072		Non-Participating Provider	NO
1790401123	NOOR AL-NOORI (Individual)	30 ADDINGTON RD APT 2 BROOKLINE, MA 02445 (713) 480-3925	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
1790873941	SAMUEL TENCER (Individual)	1037 BEACON ST # A BROOKLINE, MA 02446 (617) 232-1515		Non-Participating Provider	NO
1790967891	PATRICK JOSEPH JOYCE (Individual)	1051 BEACON ST BROOKLINE, MA 02446 (617) 738-1181		Non-Participating Provider	NO
1801817770	HARRY V TEMPLE (Individual)	209 HARVARD ST SUITE 502 BROOKLINE, MA 02446 (617) 731-1200		Non-Participating Provider	YES
1811128218	LENDER DMD PC A PLUS DENTISTRY (Organization)	320 WASHINGTON STREET 3RD FLOOR BROOKLINE, MA 02445 (617) 264-9200		Non-Participating Provider	NO
1811538705	SAMUEL USTAYEV (Individual)	367 HARVARD ST BROOKLINE, MA 02446 (617) 277-1112	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
1821180043	ROGER DEAN TAYLOR (Individual)	209 HARVARD ST FL 2 BROOKLINE, MA 02446 (617) 731-5437	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 Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1821279613	DAREL DAVID MOSS (Individual)	1682 BEACON ST BROOKLINE, MA 02445 (617) 566-5363	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
1831172535	MARIA LOURDES LONGO (Individual)	1037 BEACON ST SUITE 2 BROOKLINE, MA 02446 (617) 738-7210		Non-Participating Provider	NO
1831230317	YEN-CHING CHEN (Individual)	1318 BEACON ST SUITE 20 BROOKLINE, MA 02446 (617) 975-3399		Non-Participating Provider	NO
1831313832	IRINA TOLMACH (Individual)	1247 BEACON ST # A BROOKLINE, MA 02446 (617) 566-5400	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
1831349596	YUMI OGATA (Individual)	36 LONGWOOD AVE UNIT 3 BROOKLINE, MA 02446 (718) 474-3331	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
1831353713	SIRENA HSIEH (Individual)	10 PARKWAY RD APT 6 BROOKLINE, MA 02445 (617) 256-0624	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1831368570	JIANMING YU (Individual)	1842 BEACON ST STE 306 BROOKLINE, MA 02445 (617) 730-8058		Non-Participating Provider	NO
1831427475	SABEEN TIWANA (Individual)	128 BEACONSFIELD RD UNIT 1 BROOKLINE, MA 02445 (617) 990-6182	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
1831959345	SIMA KASRAIE (Individual)	21 LONGWOOD AVE BROOKLINE, MA 02446 (617) 738-0806		Non-Participating Provider	NO
1841410107	RICHARD NEWBURG (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445		Non-Participating Provider	NO
1841413671	PAUL C. KUO, M.D., D.M.D., P.C. CENTER FOR COSMETIC FACIAL AND ORAL SURGERY (Organization)	209 HARVARD ST SUITE 405 BROOKLINE, MA 02446 (617) 566-8800		Non-Participating Provider	NO
1851908180	DAN FAIBISH (Individual)	81 SCHOOL ST BROOKLINE, MA 02446 (617) 731-2329	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 UnitedHealthcare	Non-Participating Provider	YES
1861118721	COOLIDGE CORNER DENTAL (Organization)	367 HARVARD ST BROOKLINE, MA 02446 (617) 938-9161		Non-Participating Provider	NO
1861664286	JOHN VARGAS D.D.S. , P.C. (Organization)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1871654988	BARBARA TOOMEY HAUSCHKA (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950		Non-Participating Provider	NO
1871689752	MARMAR MESGARZADEH (Individual)	1037A BEACON ST BROOKLINE, MA 02446 (617) 232-1515	Anthem Blue Cross and Blue Sheld 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 UnitedHealthcare	Non-Participating Provider	YES
1871705343	EKKASAK SORNKUL (Individual)	209 HARVARD ST STE 406 BROOKLINE, MA 02446 (617) 975-0337	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1871881193	VICTORIA MAE KAPLAN (Individual)	1180 BEACON ST STE 2B BROOKLINE, MA 02446 (617) 277-4100	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
1881386456	ELENI MARIE PAPADOPOULOS (Individual)	1371 BEACON ST BROOKLINE, MA 02446 (617) 680-4208	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
1881685238	GERALD STEPHEN FINE (Individual)	1223 BEACON STREET BROOKLINE, MA 02446 (617) 731-6060	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	Opted out of Medicare	YES
1891231023	SMILE DENTAL, PC HAPPY SMILES DENTAL (Organization)	320 WASHINGTON ST THIRD FLOOR BROOKLINE, MA 02445 (617) 860-3640		Non-Participating Provider	NO
1891906467	ELLA OONG (Individual)	1037A BEACON ST BROOKLINE, MA 02446 (617) 232-1515		Non-Participating Provider	NO
1902119274	ROBERT GUEN DMD & ASSOCIATES, LLC (Organization)	1035A BEACON ST BROOKLINE, MA 02446 (617) 232-2700		Non-Participating Provider	NO
1902153752	ONE DENTAL CARE, PC ONE DENTAL CARE (Organization)	1682 BEACON ST BROOKLINE, MA 02445 (617) 458-2259		Non-Participating Provider	NO
1902931686	STANISLAV KOVTUN DMD, PC ALPHA PLUS DENTAL CENTER (Organization)	185 HARVARD STREET BROOKLINE, MA 02446 (617) 274-8494	UnitedHealthcare	Non-Participating Provider	NO
1912090887	DENTAL ASSOCIATES OF NEW ENGLAND (Organization)	2 BROOKLINE PL BROOKLINE, MA 02445 (617) 738-3500	UnitedHealthcare	Non-Participating Provider	NO
1912540444	ROYAL DENTAL BOSTON PC (Organization)	1051 BEACON ST STE 514 BROOKLINE, MA 02446 (617) 608-3463		Non-Participating Provider	NO
1912924978	NICHOLAS GEORGE TSAKOS (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 734-8301	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
1922230952	PO PO ISA CHUI, D.M.D., LLC (Organization)	1051 BEACON ST SUITE 102 BROOKLINE, MA 02446 (617) 566-2337	UnitedHealthcare	Non-Participating Provider	NO
1922456276	MYLES RICHARD CLANCY (Individual)	209 HARVARD ST BROOKLINE, MA 02446 (617) 731-5437	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 Northeast Delta Dental Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1922462100	STANISLAV KOVTUN, DMD PC ALPHA PLUS DENTAL CENTER (Organization)	185 HARVARD ST BROOKLINE, MA 02446 (617) 274-8494		Non-Participating Provider	NO
1922667872	SANDY PEREZ (Individual)	1842 BEACON ST STE 304 BROOKLINE, MA 02445 (617) 928-8746	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1932113958	GERALD SCHULTZ (Individual)	1842 BEACON ST BROOKLINE, MA 02445 (617) 566-5445		Non-Participating Provider	NO
1932246667	MEERA SUBRAMANIAM (Individual)	1037A BEACON ST BROOKLINE, MA 02446 (617) 232-1515	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
1932263779	JAVAD GHOREISHI (Individual)	77 POND AVE C103 BROOKLINE, MA 02445 (617) 566-1717	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
1932457215	HEND EBRAHIM ALQADERI (Individual)	1714 BEACON ST #3 BROOKLINE, MA 02445 (617) 953-2384		Non-Participating Provider	NO
1942361787	ROBERT J RUDY (Individual)	1051 BEACON STREET SUITE 514 BROOKLINE, MA 02446 (617) 731-6760		Non-Participating Provider	NO
1942429303	IVETA IONTCHEVA-BAREHMI (Individual)	1842 BEACON STREET SUITE 302 BROOKLINE, MA 02445 (617) 868-1516	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
1942461611	DELIA DUMITRIU (Individual)	1682 BEACON ST BROOKLINE, MA 02445 (617) 566-5363	Anthem Blue Cross and Blue Sheld	Non-Participating Provider	NO
1942546577	THE CENTER FOR PEDIATRIC DENTAL CARE, LLC (Organization)	1560 BEACON ST BROOKLINE, MA 02446 (617) 731-5437		Non-Participating Provider	NO
1952295198	JOO YEON CHOI DMD PLLC (Organization)	1682 BEACON ST BROOKLINE, MA 02445 (617) 397-3958		Non-Participating Provider	NO
1952612228	SAHANI DENTAL LLC (Organization)	1170 BEACON ST SUITE 110 BROOKLINE, MA 02446 (617) 383-6593		Non-Participating Provider	NO
1952942922	LIANG YANG (Individual)	1842 BEACON ST STE 401 BROOKLINE, MA 02445 (917) 362-8171	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
1962071100	LONGWOOD DENTAL PLLC (Organization)	1842 BEACON ST STE 100 BROOKLINE, MA 02445 (617) 566-5445		Non-Participating Provider	NO
1962652438	PHILIP M WALTON (Individual)	175 FREEMAN ST 422 BROOKLINE, MA 02446 (617) 320-9994		Non-Participating Provider	NO
1962995662	ELAF HADADI (Individual)	1842 BEACON ST STE 401 BROOKLINE, MA 02445 (617) 860-6333	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1972269512	PREMIER ORAL SURGERY AND IMPLANTOLOGY PLLC (Organization)	209 HARVARD ST STE 307 BROOKLINE, MA 02446 (617) 468-5110		Non-Participating Provider	NO
1972648517	EUGENE BARK (Individual)	414 HARVARD ST BROOKLINE, MA 02446 (617) 327-0600	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1972690691	RYAN DOUGLAS BLISSETT (Individual)	1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1972780450	NICOLAE P DUMITRIU (Individual)	1753 BEACON ST 2 BROOKLINE, MA 02445 (617) 461-1178	Anthem Blue Cross and Blue Sheld	Non-Participating Provider	NO
1982421269	LINDA R MARINELLO (Organization)	1678 BEACON ST STE 1 BROOKLINE, MA 02445 (617) 566-1007		Non-Participating Provider	NO
1982754412	SYED FAHEEM RASOOL (Individual)	1577 BEACON ST BROOKLINE, MA 02446 (617) 734-8599	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
1992714109	EHRLICH DENTAL ASSOCIATES INC (Organization)	1371 BEACON ST SUITE 201 BROOKLINE, MA 02446 (617) 566-2734		Non-Participating Provider	NO
1992737605	JULIAN LENDER (Individual)	320 WASHINGTON ST STE 3 BROOKLINE, MA 02445 (617) 264-9200	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	Non-Participating Provider	YES
1992963896	DAREL MOSS D.D.S. PC (Organization)	1682 BEACON ST BROOKLINE, MA 02445 (617) 566-5363		Non-Participating Provider	NO

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