Dentist Providers In Buford, Georgia

Search Dentist NPI records in Buford, GA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Buford, GA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 72, of which 21 are registered as organizations and 51 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

39% Female

32% Male

71% Individual Providers (51)29% Medical Organizations (21)39% Female Providers (28)32% Male Providers (23)

Map of Providers

We have mapped the Dentist providers in Buford, GA 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 Buford, GA
NPI	Name	Address	Insurance	Medicare	PECOS
1013234954	PRINCETON DENTAL GROUP (Organization)	4700 NELSON BROGDON BLVD SUITE 210 BUFORD, GA 30518 (678) 730-2005		Non-Participating Provider	NO
1013285246	AMY CATES, DMD, PC (Organization)	11 BUFORD VILLAGE WAY SUITE 111 BUFORD, GA 30518 (678) 765-8011		Non-Participating Provider	NO
1013638022	STEPHIN JOHN (Individual)	3687 BUFORD DR # 300 BUFORD, GA 30519 (470) 317-2078	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	NO
1023272358	DUSTIN CHRISTOPHER JACOBS (Individual)	1930 BUFORD MILL DR BUFORD, GA 30519 (770) 882-2539	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	YES
1053457622	BUFORD DENTISTRY (Organization)	1879 BUFORD HWY STE 5 BUFORD, GA 30518 (770) 945-7186		Non-Participating Provider	NO
1063028769	GEORGIA DENTAL PROFESSIONALS, PC IVY CREEK DENTAL CARE (Organization)	3364 HAMILTON MILL RD BUFORD, GA 30519 (470) 326-6929	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1063914810	DENTISTS OF BUFORD, PC (Organization)	3687 BUFORD DR STE 300 BUFORD, GA 30519 (470) 317-2078	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1083719827	DENTFIRST PC (Organization)	3290 BUFORD DRIVE BUFORD, GA 30253 (678) 546-3700	UnitedHealthcare	Non-Participating Provider	NO
1093381006	HAEJIN HWANG (Individual)	4530 NELSON BROGDON BLVD BUFORD, GA 30518 (770) 965-2340	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
1114086477	CHOICE ONE DENTAL CARE (Organization)	1930 BUFORD MILL DR SUITE F BUFORD, GA 30519 (770) 614-4022		Non-Participating Provider	NO
1114470705	RANDOLPH S MOORE DMD PC SMILE MORE DENTISTRY (Organization)	4470 COMMERCE DR SUITE B BUFORD, GA 30518 (770) 945-5368		Non-Participating Provider	NO
1124306816	JOYCE SHEON KIM (Individual)	4520 NELSON BROGDON BLVD BUFORD, GA 30518 (770) 945-2119		Non-Participating Provider	NO
1174984165	ERIC BAILEY (Individual)	4740 NELSON BROGDON BLVD BUFORD, GA 30518 (770) 945-5027		Non-Participating Provider	NO
1194947739	NIMISHA PATEL (Individual)	4745 NELSON BROGDON BLVD. SUITE - 100 BUFORD, GA 30518 (770) 945-7186	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	Non-Participating Provider	NO
1205501285	GEORGIA DENTAL PROFESSIONALS, PC (Organization)	4890 GOLDEN PKWY BUFORD, GA 30518 (678) 288-4786	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1215948815	RYAN JAMES EDWARDS (Individual)	4850 GOLDEN PKWY SUITE 3E BUFORD, GA 30518 (770) 831-0559	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
1235804071	ALLA. V. BROWN, D.M.D., P.C. (Organization)	5348 LANIER ISLANDS PKWY BUFORD, GA 30518 (678) 714-9199		Non-Participating Provider	NO
1245937291	TRU SMILES DENTISTRY (Organization)	3425 BUFORD DR STE 300 BUFORD, GA 30519 (470) 822-8390		Non-Participating Provider	NO
1285790832	MAHIN S SADRI (Individual)	3290 BUFORD DR DENTFIRST DENTAL CARE MALL OF GEORGIA BUFORD, GA 30519 (678) 546-3700	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
1295264810	AMANDA MARIE NEWBERRY (Individual)	5328 LANIER ISLANDS PKWY STE 200 BUFORD, GA 30518 (678) 714-9199		Non-Participating Provider	NO
1316665458	ANNA MARIE TRAN (Individual)	3364 HAMILTON MILL RD BUFORD, GA 30519 (470) 326-6929	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	Non-Participating Provider	NO
1326486333	RAVI A PATEL (Individual)	4536 NELSON BROGDON BLVD BLDG A BUFORD, GA 30518 (678) 730-2005	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
1336202951	BOLIVAR LUPERON (Individual)	2725 HAMILTON MILL RD SUITE 700 BUFORD, GA 30519 (770) 932-8577	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
1336523679	VANINA HAYDEE MEDRANO (Individual)	1600 MALL OF GEORGIA BLVD SUITE 1230 BUFORD, GA 30519 (678) 606-0166	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	YES
1366012213	ROHIT KUMAR MUKHI (Individual)	4700 NELSON BROGDON BLVD STE 210 BUFORD, GA 30518 (678) 853-7237	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
1366888026	CAROLINE CENEVIZ (Individual)	4125 BUFORD DR STE K BUFORD, GA 30518 (770) 692-1000	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
1386489235	HIND HAMID ELHAG (Individual)	1905 MALL OF GEORGIA BLVD BUFORD, GA 30519 (678) 788-7514		Non-Participating Provider	NO
1396908166	MARYSIA LYNN TAYLOR (Individual)	2989 W ROCK QUARRY RD BUFORD, GA 30519 (770) 932-4539	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	NO
1407476799	JONG IN JEOUNG (Individual)	4536 NELSON BROGDON BLVD BLDG A BUFORD, GA 30518 (678) 730-2005	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
1437353638	MICHAEL KEVIN PHELAN (Individual)	4330 S LEE ST BLDG 500 BUFORD, GA 30518 (770) 271-0833	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	NO
1437448644	TRICIA M FUSSELL (Individual)	1400 BUFORD HWY STE N BUFORD, GA 30518 (770) 945-2015		Non-Participating Provider	NO
1447569850	BUFORD DENTAL ASSOCIATES PC (Organization)	1879 BUFORD HWY SUITE 5 BUFORD, GA 30518 (770) 945-7186		Non-Participating Provider	NO
1447642756	DOUGLAS YOON (Individual)	2312 SPARTA WAY STE B BUFORD, GA 30519 (706) 899-3002		Non-Participating Provider	NO
1457319030	LORRAINE W LAFONTAINE (Individual)	2755 SAWNEE AVE BUFORD, GA 30518 (770) 614-2427	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	YES
1457438913	ALLA V BROWN (Individual)	5328 FRIENDSHIP RD STE 200 BUFORD, GA 30518 (678) 714-9199	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
1457508491	ANCA NICOLA (Individual)	4524 BROGDAN FARM COURT BUFORD, GA 30518 (404) 933-9816	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
1477634574	MICHAEL QUINCY ALAN RICHARDSON (Individual)	4965 LANIER ISLANDS PKWY STE 105 BUFORD, GA 30518 (770) 831-0559	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
1508398447	SAGE DENTAL GROUP OF GEORGIA, LLC (Organization)	3410 BUFORD DR E-780 BUFORD, GA 30519 (678) 765-9930	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1528118429	RANDOLPH S. MOORE (Individual)	4470 COMMERCE DR STE B BUFORD, GA 30518 (770) 945-5369		Non-Participating Provider	YES
1588723472	AZITA REZAEI AMIRI (Individual)	3290 BUFORD DR BUFORD, GA 30519 (678) 549-3700	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
1588827919	GRAVEL SPRINGS DENTAL, P.C. (Organization)	2960 GRAVEL SPRINGS RD BUFORD, GA 30519 (770) 298-1524	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1629119128	JAMES B RILEY (Individual)	4850 GOLDEN PKWY STE. 3E BUFORD, GA 30518 (770) 831-0559		Non-Participating Provider	NO
1649987041	MEGHAN WHITNEY CRABTREE DMD LLC (Organization)	1400 BUFORD HWY STE N BUFORD, GA 30518 (770) 945-2015		Non-Participating Provider	NO
1659002632	PRIYA MILEN PATEL (Individual)	4536 NELSON BROGDON BLVD BLDG A BUFORD, GA 30518 (678) 853-7237	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1659550655	AMY C. CATES (Individual)	11 BUFORD VILLAGE WAY SUITE 111 BUFORD, GA 30518 (678) 765-8011		Non-Participating Provider	YES
1669551248	SCOTT C MCKENZIE (Individual)	3300 HAMILTON MILL RD SUITE106 BUFORD, GA 30519 (678) 714-7541	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
1689795148	LARRY JASON PAYNE (Individual)	4965 FRIENDSHIP RD SUITE 105 BUFORD, GA 30518 (770) 614-7122	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
1699796771	BRIAN D. VANCIL (Individual)	1905 MALL OF GEORGIA BLVD STE 1 BUFORD, GA 30519 (678) 714-6343	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	Non-Participating Provider	YES
1700403078	SWATI SUNNY PATEL (Individual)	3364 HAMILTON MILL RD BUFORD, GA 30519 (470) 326-6929	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	NO
1700937406	HARVEY P SIMON (Individual)	3687 BUFORD DR STE. 300 BUFORD, GA 30519 (470) 317-2078	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
1710413661	JUNG MIN PARK (Individual)	3420 BUFORD DR STE E780 BUFORD, GA 30519 (678) 765-9930	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
1740055854	AJI ALEYAMA MATHEW (Individual)	600 GARNETT ST BUFORD, GA 30518 (678) 956-7092	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
1740439157	JENNIFER HAUSER BISIG (Individual)	1400 BUFORD HWY SUITE B-4 BUFORD, GA 30518 (770) 831-0551	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
1740984574	GREAT SMILES BUFORD CENTER LLC (Organization)	1879 BUFORD HWY STE 5A BUFORD, GA 30518 (470) 722-5591		Non-Participating Provider	NO
1760920706	BDD,LLC SUGAR HILL DENTISTRY (Organization)	4520 NELSON BROGDON BLVD BUFORD, GA 30518 (770) 945-2119		Non-Participating Provider	NO
1770287039	ANUPAMA SHARMA (Individual)	4125 BUFORD DR STE T BUFORD, GA 30518 (770) 343-4702	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 Companion Life Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1770737488	ABDELNASER MUSTAFA ELMAHDI (Individual)	1944 BRASELTON HWY STE 107 BUFORD, GA 30519 (770) 696-9450	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	NO
1770970279	ZAINAB KAUSAR KHAN (Individual)	3104 WALKERS FALLS WAY BUFORD, GA 30519 (770) 932-6911		Non-Participating Provider	NO
1790676062	OMAR PERALTA RIOS (Individual)	3687 BUFORD DR STE 300 BUFORD, GA 30519 (470) 317-2078		Non-Participating Provider	NO
1801967955	ASHLEY PAIGE CURINGTON (Individual)	1900 MORNINGSIDE DRIVE NE SUITE 201 BUFORD, GA 30518 (770) 932-1115		Non-Participating Provider	NO
1821624347	CAITLYN STOUDER LONG (Individual)	2333 SPARTA WAY BUFORD, GA 30519 (770) 637-1873		Non-Participating Provider	NO
1821643255	PRIYANKA TAYEE (Individual)	3730 BUFORD DR BUFORD, GA 30519 (817) 368-8881	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	NO
1851014799	IDEAL DENTAL BUFORD PLLC (Organization)	2925 BUFORD DR STE 1601 BUFORD, GA 30519 (678) 765-3240	UnitedHealthcare	Non-Participating Provider	NO
1861956005	MICHELLE SONNENFELDT MCKENZIE (Individual)	3700 RIDGE RD STE A BUFORD, GA 30519 (678) 714-7541	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1871943662	MALL OF GEORGIA DENTISTRY (Organization)	1905 MALL OF GEORGIA BLVD STE 1 BUFORD, GA 30519 (678) 714-6343		Non-Participating Provider	NO
1902065493	CHRISTOPHER R HALPER (Individual)	4530 NELSON BROGDON BLVD SUITE A BUFORD, GA 30518 (770) 965-2340	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
1902934938	JENNIFER N BRUNETTI (Individual)	600 GARNETT ST SUITE 3 BUFORD, GA 30518 (678) 546-1500	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 Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1922594035	ANKIT PATEL (Individual)	600 GARNETT ST BUFORD, GA 30518 (678) 546-1500	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	NO
1932603669	BUFORD FAMILY DENTAL CARE, LLC (Organization)	600 GARNETT ST STE 3 BUFORD, GA 30518 (678) 546-1500	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1942608757	RAM DENTAL, LLC (Organization)	4536 NELSON BROGDON BLVD BLDG A BUFORD, GA 30518 (678) 730-2005		Non-Participating Provider	NO
1992930960	SUNIL MITTAL (Individual)	600 GARNETT ST STE 3 BUFORD, GA 30518 (678) 546-1500	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	YES
1992987218	KWANG R PYON (Individual)	4108 HAMILTON MILL RD STE 220 BUFORD, GA 30519 (470) 466-2888	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 WellCare of North Carolina	Non-Participating Provider	YES

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