Dentist Providers In Cedar Park, Texas

Search Dentist NPI records in Cedar Park, TX

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Cedar Park, TX. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 161, of which 61 are registered as organizations and 100 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.

62% Individuals

38% Organizations

31% Female

31% Male

62% Individual Providers (100)38% Medical Organizations (61)31% Female Providers (50)31% Male Providers (50)

Map of Providers

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

List of Providers

Table of Dentist NPI Profiles in Cedar Park, TX
NPI	Name	Address	Insurance	Medicare	PECOS
1003369869	NICHOLAS CHARLES OSTER (Individual)	12171 W PARMER LN STE 101 CEDAR PARK, TX 78613 (831) 332-9660	Delta Dental PPO	Non-Participating Provider	NO
1003549320	PRISCILLA WONG (Individual)	1201 N BELL BLVD STE 102 CEDAR PARK, TX 78613 (512) 462-3232	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1003956319	GEORGE A. TURNER (Individual)	1903 CYPRESS CREEK RD STE 104 CEDAR PARK, TX 78613 (512) 258-8381	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 Humana	Non-Participating Provider	NO
1003965864	JARROD D CAMPBELL (Individual)	11901 W PARMER LN STE 100 CEDAR PARK, TX 78613 (512) 259-9400		Non-Participating Provider	NO
1023439064	DENTAL HEALTH ASSOCIATES OF TX, PC FAMILY DENTAL CARE OF CEDAR PARK (Organization)	1468 E WHITESTONE BLVD SUITE 500 CEDAR PARK, TX 78613 (512) 337-2974	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1033238167	DEANNA MICHELLE DEAN (Individual)	401 E. WHITESTONE BLVD. STE. C 105 CEDAR PARK, TX 78613 (512) 260-3777	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 Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1043612963	LAKELINE FAMILY DENTAL (Organization)	1201 N LAKELINE BLVD SUITE NUMBER 300 CEDAR PARK, TX 78613 (512) 937-3371	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1043984834	SMILE IN STYLE PLLC (Organization)	2515 S LAKELINE BLVD CEDAR PARK, TX 78613 (512) 666-9192		Non-Participating Provider	NO
1053753764	LAKELINE MALL FAMILY DENTAL (Organization)	11200 LAKELINE MALL DR SUITE B01 CEDAR PARK, TX 78613 (214) 390-9948		Non-Participating Provider	NO
1063767622	JARROD D CAMPBELL, PA CAMPBELL DENTAL (Organization)	11901 W PARMER LN SUITE 100 CEDAR PARK, TX 78613 (512) 259-9400		Non-Participating Provider	NO
1073663837	SHIRLEY HOLLY WILLIAMS (Individual)	12920 W PARMER LN SUITE 101 CEDAR PARK, TX 78613 (512) 410-7774	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073963880	TAREK SIRAGE (Individual)	12160 W PARMER LN STE 110 CEDAR PARK, TX 78613 (512) 866-3184	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083330187	ALEXANDER REID TRYON (Individual)	5001 183A TOLL RD STE R300 CEDAR PARK, TX 78613 (737) 239-0222	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093196644	NORTHWEST DENTAL ASSOCIATES P.A. (Organization)	11066 PECAN PARK BLVD. SUITE #411 CEDAR PARK, TX 78613 (512) 219-7484		Non-Participating Provider	NO
1093856759	DAVID A. BUTLER (Individual)	601 E. WHITESTONE BVLD SUITE 206 CEDAR PARK, TX 78613 (512) 260-8556	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 Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1093879728	DUDLEY MCGRAW HODGKINS (Individual)	2515 S. LAKELINE BLVD. CEDAR PARK, TX 78613 (512) 331-1419	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
1104082106	HRISTINA TODOROVA KIPROVSKA-GAVRILOVA (Individual)	12920 W PARMER LN SUITE 101 CEDAR PARK, TX 78613 (512) 410-7774	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1104190594	BEAU D BLANKENSHIP, DDS, PC LAKELINE MALL FAMILY DENTAL (Organization)	11200 LAKELINE MALL DR #B1 CEDAR PARK, TX 78613 (512) 448-4867		Non-Participating Provider	NO
1104246131	WSD DENTAL VENTURES LLLP WHITESTONE DENTAL (Organization)	500 W WHITESTONE BLVD SUITE 102 CEDAR PARK, TX 78613 (512) 719-4449		Non-Participating Provider	NO
1114048790	KAREN L NAPLES (Individual)	200 S BELL BLVD SUITE E2 CEDAR PARK, TX 78613 (512) 249-8488		Non-Participating Provider	NO
1114133972	BLAIR RUSS BARNETT (Individual)	12171 W PARMER LN SUITE 102 CEDAR PARK, TX 78613 (512) 260-0084	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124131156	MICHAEL JAY FARST (Individual)	702 NORTH BELL BLVD CEDAR PARK, TX 78613 (512) 250-5529	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
1124383104	MUHAMMAD HARIS (Individual)	2001 CHULA VISTA DR CEDAR PARK, TX 78613 (512) 983-4987	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1144355629	CHAD MICHAEL WHITING (Individual)	12171 W PARMER LN STE 101 CEDAR PARK, TX 78613 (512) 528-8900	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. BannerAetna 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 Blue Cross Blue Shield of Arizona Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1144357674	ROBERT J JORDAN (Individual)	2501 SOUTH LAKELINE BOULEVARD CEDAR PARK, TX 78613 (512) 258-7523		Non-Participating Provider	NO
1144715129	SHABNAM SHERRY FARRAR (Individual)	4807 183A TOLL RD STE 100 CEDAR PARK, TX 78613 (512) 690-2211	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1144915133	SHRUTHI PRABHAKAR (Individual)	12160 W PARMER LN STE 110 CEDAR PARK, TX 78613 (512) 866-3184		Non-Participating Provider	NO
1154334514	STEVEN JOHN STANCEY (Individual)	3415 EL SALIDO PKWY STE A CEDAR PARK, TX 78613 (512) 257-2483		Non-Participating Provider	NO
1154395994	DZUNG HUU HOANG NGUYEN (Individual)	601 E WHITESTONE BLVD STE 628 CEDAR PARK, TX 78613 (512) 260-8556	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
1154652584	DENTAL HEALTH MANAGEMENT SOLUTIONS, INC (Organization)	2001 WINDY TER STE F CEDAR PARK, TX 78613 (512) 989-6990	Aetna CVS Health	Non-Participating Provider	NO
1154662690	KENNETH BLOODWORTH (Individual)	2001 WINDY TER STE F CEDAR PARK, TX 78613 (210) 393-1704		Non-Participating Provider	NO
1154684058	CINDY NGUYEN-PHI TRAN (Individual)	4701 183A TOLL RD SUITE C CEDAR PARK, TX 78613 (512) 593-7998	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1164154217	ASHTON MUNIZ (Individual)	115 S LAKELINE BLVD STE 200 CEDAR PARK, TX 78613 (512) 640-3360	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1164312070	DEVANSHI PANSURIA (Individual)	401 E WHITESTONE BLVD STE C106 CEDAR PARK, TX 78613 (737) 688-0926		Non-Participating Provider	NO
1194321117	SWISH DENTAL CEDAR PARK, PLLC (Organization)	12160 W PARMER LN STE 110 CEDAR PARK, TX 78613 (862) 216-8108		Non-Participating Provider	NO
1205144920	CEDAR PARK MODERN DENTISTRY, PC CEDAR PARK MODERN DENTISTRY (Organization)	1455 E WHITESTONE BLVD STE 127 CEDAR PARK, TX 78613 (512) 259-7171	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1205175403	SEEMA PATEL (Individual)	1455 E WHITESTONE BLVD SUITE 127 CEDAR PARK, TX 78613 (512) 259-7171	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1205190915	PAMELA R. SINGLETARY, DDS, PLLC TEXAS TOOTHFAIRIES PEDIATRIC DENTISTRY (Organization)	3401 EL SALIDO PKWY CEDAR PARK, TX 78613 (512) 401-8888	UnitedHealthcare	Non-Participating Provider	NO
1205896271	ANDREW ALEXANDER MORGAN (Individual)	2051 CYPRESS CREEK RD STE H CEDAR PARK, TX 78613 (512) 258-7338	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
1215044599	SANDRA MARIE SWANSON (Individual)	180 E WHITESTONE BLVD SUITE #162 CEDAR PARK, TX 78613 (512) 259-6633	Aetna CVS Health 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	NO
1225038409	PAMELA RENE SINGLETARY (Individual)	3401 EL SALIDO PKWY CEDAR PARK, TX 78613 (512) 401-8888	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225198633	STEPHEN SNODELL (Individual)	1907 CYPRESS CREEK RD. SUITE 100 CEDAR PARK, TX 78613 (512) 258-7070	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 DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235650664	KEN MICHAEL LIM (Individual)	12920 W PARMER LN STE 101 CEDAR PARK, TX 78613 (512) 410-7774	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Humana Paramount Paramount Dental	Non-Participating Provider	NO
1255498903	ANIL GUDAPATI DMD PA KIDS DENTAL SMILES (Organization)	601 E WHITESTONE BLVD SUITE 400 CEDAR PARK, TX 78613 (512) 259-2331		Non-Participating Provider	NO
1265167316	AMMAN NOOR OSMAN (Individual)	12920 W PARMER LN STE 101 CEDAR PARK, TX 78613 (512) 410-7774	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1265494496	DAVID ROY REEVES (Individual)	209 DENALI PASS SUITE A CEDAR PARK, TX 78613 (512) 528-1400	Humana	Non-Participating Provider	NO
1265879894	HILL COUNTRY DENTISTRY BUTTERCUP DENTAL (Organization)	901 CYPRESS CREEK RD 203 CEDAR PARK, TX 78613 (512) 335-8121		Non-Participating Provider	NO
1275609455	NITYA BALAN (Individual)	715 DISCOVERY BLVD SUITE 119 CEDAR PARK, TX 78613 (512) 260-8330	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1275791410	LAKELINE MALL FDC PA (Organization)	11200 LAKELINE MALL DR STE B1 CEDAR PARK, TX 78613 (512) 448-4867		Non-Participating Provider	NO
1285068239	JESSICA MARIE CICONE (Individual)	1455 E WHITESTONE BLVD STE 127 CEDAR PARK, TX 78613 (512) 259-7171	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285443705	TLC DENTAL, PLLC (Organization)	4701 183A TOLL RD STE A400 CEDAR PARK, TX 78613 (512) 593-7998		Non-Participating Provider	NO
1285762641	D.A. BUTLER, DDS, PA CEDAR PARK DENTAL CARE (Organization)	601 E. WHITESTONE BVLD. STE. 206 CEDAR PARK, TX 78613 (512) 260-8556		Non-Participating Provider	NO
1295436715	CHARLOTTE SHOA (Individual)	2004 DAGAMA DR CEDAR PARK, TX 78613 (512) 905-1519		Non-Participating Provider	NO
1295939759	CEDAR PARK PERIODONTICS, PC (Organization)	209 DENALI PASS SUITE A CEDAR PARK, TX 78613 (512) 528-1400		Non-Participating Provider	NO
1306391545	RICHA WAHI (Individual)	920 N VISTA RIDGE BLVD # 700 CEDAR PARK, TX 78613 (646) 549-3429	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326422668	CARUS DENTAL PC CARUS DENTAL CEDAR PARK (Organization)	1130 COTTONWOOD CREEK TRL STE A2 CEDAR PARK, TX 78613 (512) 690-2368	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1336142819	JOHN H GALLOP (Individual)	1900 CYPRESS CREEK RD # 201 CEDAR PARK, TX 78613 (512) 336-8478		Non-Participating Provider	NO
1336224344	CHRISTOPHER ALBERT HOPPE (Individual)	2000 SUN CHASE BLVD CEDAR PARK, TX 78613 (512) 219-1811	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1336719269	CEDAR SMILES PEDIATRIC DENTISTRY (Organization)	13625 RONALD W REAGAN BLVD BLDG 8-100 CEDAR PARK, TX 78613 (512) 236-5111		Non-Participating Provider	NO
1346383817	HERMELINDA NORWOOD (Individual)	180 E WHITESTONE BLVD SUITE 162 CEDAR PARK, TX 78613 (512) 259-6633	Aetna CVS Health 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	NO
1346672920	SARA ELIZABETH MANDELL (Individual)	920 N VISTA RIDGE BLVD STE SUITE700 CEDAR PARK, TX 78613 (512) 402-7811	Delta Dental PPO Guardian Humana	Non-Participating Provider	NO
1376001545	YONATAN PEVZNER (Individual)	1455 E WHITESTONE BLVD STE 127 CEDAR PARK, TX 78613 (512) 259-7171	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 EMI Health Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1386788669	QUYNH-NHU TAN PHAN (Individual)	11066 PECAN PARK BLVD SUITE #411 CEDAR PARK, TX 78613 (512) 219-7484	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
1396238614	LAKSHMI CHANDANA ALAPATI (Individual)	2875 W WHITESTONE BLVD STE 160 CEDAR PARK, TX 78613 (512) 615-5686	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396259628	ADELINA PETROVA (Individual)	401 E WHITESTONE BLVD SUITE C105 CEDAR PARK, TX 78613 (512) 260-3777	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1407228158	WILLIAM BATTEN (Individual)	908 W WHITESTONE BLVD STE 400 CEDAR PARK, TX 78613 (512) 668-9770	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 Blue Cross and Blue 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
1407607294	AFFORDABLE DENTURES & IMPLANTS - TEXAS X, PLLC AFFORDABLE DENTURES & IMPLANTS - CEDAR PARK (Organization)	1335 E. WHITESTONE BLVD. BLDG D. , SUITE 145 CEDAR PARK, TX 78613 (737) 243-1927		Non-Participating Provider	NO
1417292475	SHANE WESTON WHISENANT (Individual)	2501 S LAKELINE BLVD CEDAR PARK, TX 78613 (512) 258-7523	Aetna CVS Health Delta Dental PPO Guardian	Non-Participating Provider	NO
1427326875	HYUN-DO JOO (Individual)	401 E WHITESTONE BLVD STE 105 CEDAR PARK, TX 78613 (512) 260-3777	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427409374	DENTAL SALON PLLC (Organization)	13625 RONALD W REAGAN BLVD BLDG 4 CEDAR PARK, TX 78613 (512) 980-0089	Aetna CVS Health	Non-Participating Provider	NO
1437524618	JARROD CAMPBELL, DDS, PA CAMPBELL DENTAL (Organization)	11901 W PARMER LN STE 100 CEDAR PARK, TX 78613 (512) 259-9400		Non-Participating Provider	NO
1437727070	CHESTER ENDODONTICS, PLLC (Organization)	13625 RONALD REAGAN BLVD BUILDING 10 SUITE 300 CEDAR PARK, TX 78613 (512) 986-7524		Non-Participating Provider	NO
1437968617	AMANI PEDIATRIC DENTISTRY PLLC (Organization)	2875 W WHITESTONE BLVD STE 120 CEDAR PARK, TX 78613 (737) 363-4200		Non-Participating Provider	NO
1447313135	ANIL GUDAPATI (Individual)	601 E WHITESTONE BLVD SUITE 400 CEDAR PARK, TX 78613 (512) 259-2331	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 EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1467749895	CEDAR HILLS DENTAL, PLLC (Organization)	180 E WHITESTONE BLVD SUITE 162 CEDAR PARK, TX 78613 (512) 259-6633	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1467865832	SONRISAS DENTAL CENTER (Organization)	1130 COTTONWOOD CREEK TRL #A1 CEDAR PARK, TX 78613 (512) 593-7970	Aetna CVS Health	Non-Participating Provider	NO
1477039394	NHD PLLC (Organization)	1775 BAGDAD RD STE D CEDAR PARK, TX 78613 (512) 259-6577		Non-Participating Provider	NO
1487409686	AUSTIN DENTAL PROFESSIONALS PLLC (Organization)	1420 CYPRESS CREEK RD STE 700 CEDAR PARK, TX 78613 (512) 883-5496	Aetna CVS Health	Non-Participating Provider	NO
1487744207	JEFFERY WAYNE GERHARDT (Individual)	3415 EL SALIDO PKWY STE A CEDAR PARK, TX 78613 (512) 257-2483	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1487843140	MICHAEL PHAM DING (Individual)	1785 E. WHITESTONE BLVD SUITE 100 CEDAR PARK, TX 78613 (512) 258-3764	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental	Opted out of Medicare	YES
1497112940	DR.APURVA ARJARAPU DENTAL CARE PC AVIVA DENTAL CARE (Organization)	1821 SOUTH LAKELINE BLVD. #101 CEDAR PARK, TX 78613 (973) 873-8807		Non-Participating Provider	NO
1497359558	AYA ESSMAT (Individual)	2829 S LAKELINE BLVD UNIT 821 CEDAR PARK, TX 78613 (916) 912-0027	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1497361703	LENA AL-FARRA (Individual)	209 DENALI PASS CEDAR PARK, TX 78613 (817) 797-5253	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1497483846	ODP OF TEXAS PLLC (Organization)	2051 CYPRESS CREEK RD STE N CEDAR PARK, TX 78613 (512) 258-8888		Non-Participating Provider	NO
1508270166	TWINSCA, PLLC TOWN CENTER DENTAL (Organization)	905 E WHITESTONE BLVD STE D CEDAR PARK, TX 78613 (512) 670-8880		Non-Participating Provider	NO
1508748484	ARDWAN MESHAAL DDS PLLC (Organization)	811 N BELL BLVD CEDAR PARK, TX 78613 (248) 495-5822		Non-Participating Provider	NO
1508889718	DARRELL J PARK (Individual)	200 BUTTERCUP CREEK BLVD #111 CEDAR PARK, TX 78613 (512) 335-8121		Non-Participating Provider	NO
1518158385	GARY D. REINHARDT, DMD,LTD (Organization)	209 DENALI PASS STE B CEDAR PARK, TX 78613 (512) 259-6878		Non-Participating Provider	NO
1518312727	JENNIFER CHESTER (Individual)	13625 RONALD REAGAN BLVD BUILDING 10 SUITE 300 CEDAR PARK, TX 78613 (512) 986-7524	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1528331113	APURVA V ARJARAPU (Individual)	1821 S LAKELINE BLVD STE 101 CEDAR PARK, TX 78613 (512) 852-8528	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538400742	THU TRINH (Individual)	1651 S BELL BLVD UNIT 301 CEDAR PARK, TX 78613 (512) 325-6788	Delta Dental PPO Guardian	Non-Participating Provider	NO
1538414578	LAUREN-NIKKO LEE (Individual)	4701 183A TOLL RD SUITE C CEDAR PARK, TX 78613 (512) 593-7998	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1538535265	TERESA T TRAN (Individual)	601 E WHITESTONE BLVD STE 400 CEDAR PARK, TX 78613 (408) 712-3069	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1548155351	RAY DENTAL HOLDINGS PLLC. (Organization)	1201 N LAKELINE BLVD STE 300 CEDAR PARK, TX 78613 (312) 607-1103		Non-Participating Provider	NO
1558856468	ZAHARA MUNIS (Individual)	1201 N BELL BLVD # 102 CEDAR PARK, TX 78613 (512) 462-3232	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568682599	DEEPIKA GANNE (Individual)	3415 EL SALIDO PKWY SUITE B CEDAR PARK, TX 78613 (512) 219-5900	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian	Non-Participating Provider	NO
1588010565	BLOOMING DENTAL PLLC (Organization)	111 N VISTA RIDGE BLVD STE 100 CEDAR PARK, TX 78613 (512) 250-2356		Non-Participating Provider	NO
1588303275	MY LOCAL TEXAS DENTAL PRACTICE, PLLC (Organization)	111 N VISTA RIDGE BLVD STE 100 CEDAR PARK, TX 78613 (512) 250-2356	Aetna CVS Health	Non-Participating Provider	NO
1609075092	MAX OLEN KERR (Individual)	920 N VISTA RIDGE BLVD SUITE 700 CEDAR PARK, TX 78613 (512) 402-7811	Aetna CVS Health Baylor Scott and White Health Plan Blue Cross and Blue 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	Maybe Accepts Medicare	YES
1609117803	CONLEY & AZARNOUSH P.C. MOSAIC DENTISTRY (Organization)	1460 E WHITESTONE BLVD STE. 210 CEDAR PARK, TX 78613 (512) 528-0975		Non-Participating Provider	NO
1609576982	DONA JULIA HALLOUM (Individual)	1201 N BELL BLVD UNIT 102 CEDAR PARK, TX 78613 (512) 643-3628	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 Guardian Humana TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1619287489	BRUSH 32, INC (Organization)	1201 N. BELL BLVD CEDAR PARK, TX 78613 (512) 267-6360		Non-Participating Provider	NO
1629152566	BERT C VASUT (Individual)	2051 CYPRESS CREEK RD SUITE N CEDAR PARK, TX 78613 (512) 258-8888	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1629778048	VRINDA PATEL (Individual)	12160 W PARMER LN STE 110 CEDAR PARK, TX 78613 (512) 866-3184	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1659401115	AMITA SINGAL PRAKASH (Individual)	1201 N LAKELINE BLVD STE 300 CEDAR PARK, TX 78613 (512) 456-7583	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1659724326	SUPRIYA GIRISHKUMAR PATEL (Individual)	920 N VISTA RIDGE BLVD SUITE #700 CEDAR PARK, TX 78613 (512) 402-7811	Delta Dental PPO	Maybe Accepts Medicare	YES
1669355707	ALIGN&SHINE ORTHODONTICS PLLC (Organization)	2005 N LAKELINE BLVD STE A CEDAR PARK, TX 78613 (512) 590-9584		Non-Participating Provider	NO
1669361580	RINSEDENT PLLC (Organization)	2000 SUNCHASE BLVD BLDG A CEDAR PARK, TX 78613 (484) 942-6878		Non-Participating Provider	NO
1669520391	RICHARD CARLTON BLACKWELL (Individual)	711E N BELL BLVD CEDAR PARK, TX 78613 (512) 335-6991	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 Humana	Non-Participating Provider	NO
1679223515	TEXAS CHILDRENS DENTISTRY PLLC (Organization)	700 MARKET ST STE 103 CEDAR PARK, TX 78613 (512) 739-6229	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1679981203	TLC PEDIATRIC DENTISTRY PLLC (Organization)	4701 183A TOLL RD. SUITE C CEDAR PARK, TX 78613 (989) 385-0833	UnitedHealthcare	Non-Participating Provider	NO
1689664500	ANA MARGARITA TORRES (Individual)	13625 RONALD W REAGAN BLVD BLDG 4 CEDAR PARK, TX 78613 (773) 528-6478	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1689718959	TOAI CONG PHAM (Individual)	11066 PECAN PARK BLVD SUITE #411 CEDAR PARK, TX 78613 (512) 219-7484	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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
1699240135	NAMRATA SHARMA (Individual)	604 ACHILLES ST CEDAR PARK, TX 78613 (443) 856-5252	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700809902	SCOTT P SMITH (Individual)	901 CYPRESS CREEK RD #203 CEDAR PARK, TX 78613 (512) 335-8121		Non-Participating Provider	YES
1710137427	SAMEH FIKRI ALZAYAT (Individual)	2051 CYPRESS CREEK RD STE N CEDAR PARK, TX 78613 (512) 258-8888	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710399886	CARUS DENTAL PC (Organization)	1130 COTTONWOOD CREEK TRAIL BUILDING A., SUITE 2 CEDAR PARK, TX 78613 (512) 690-2368	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1710425061	HK DENTAL GROUP ROCK POINT FAMILY DENTISTRY (Organization)	115 S LAKELINE BLVD CEDAR PARK, TX 78613 (210) 326-5744		Non-Participating Provider	NO
1710586029	WHITESTONE DENTAL CENTER PLLC (Organization)	500 W WHITESTONE BLVD STE 102 CEDAR PARK, TX 78613 (972) 869-3789	Aetna CVS Health	Non-Participating Provider	NO
1720187131	JEFFERY GERHARDT DDS PC DENTISTRY ADVANCED FAMILY DENTISTRY (Organization)	3415A EL SALIDO PKWY CEDAR PARK, TX 78613 (512) 257-2483	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1720344823	SAMIRA M TOLOUE (Individual)	209 DENALI PASS STE A CEDAR PARK, TX 78613 (512) 528-1400	Humana	Non-Participating Provider	NO
1770001562	FERNANDO DANIEL RUIZ (Individual)	2800 E WHITESTONE BLVD STE 225 CEDAR PARK, TX 78613 (512) 337-0993	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
1780067488	SHWETA DUBEY HALDIPUR (Individual)	1201 N BELL BLVD STE 102 CEDAR PARK, TX 78613 (512) 462-3232	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1780769794	JENNIFER KRISTIN HOPPE (Individual)	2000 SUN CHASE BLVD CEDAR PARK, TX 78613 (512) 219-1811	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1780989053	G'S DENTAL STUDIO, P.C. (Organization)	12920 W PARMER LN STE 101 CEDAR PARK, TX 78613 (512) 410-7774	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 Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1790230365	MICHAEL ANDREW YOUNG (Individual)	1455 E WHITESTONE BLVD CEDAR PARK, TX 78613 (512) 259-7171	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1790793867	STEVEN WAYNE SMITH (Individual)	100 N LAKELINE BLVD CEDAR PARK, TX 78613 (512) 219-1389	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 UnitedHealthcare	Non-Participating Provider	NO
1801293469	CK DENTAL GROUP VISTA RIDGE FAMILY DENTISTRY (Organization)	920 N VISTA RIDGE BLVD # 700 CEDAR PARK, TX 78613 (512) 402-7811		Non-Participating Provider	NO
1811418486	KELSI LEWIS (Individual)	1201 N BELL BLVD # 102 CEDAR PARK, TX 78613 (512) 462-3232	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1811480098	KYUNGHWAN MIN (Individual)	13920 RONALD W REAGAN BLVD STE 210 CEDAR PARK, TX 78641 (737) 777-6226	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Companion Life Insurance Company Delta Dental PPO Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811524861	REGINA YUNUSOV DDS, PLLC (Organization)	251 N BELL BLVD STE 106 CEDAR PARK, TX 78613 (512) 640-8240		Non-Participating Provider	NO
1821193665	THOMAS DRAYTON INCE (Individual)	209 DENALI PASS STE B INCE DENTAL CORP CEDAR PARK, TX 78613 (512) 782-0821		Non-Participating Provider	NO
1821407040	CEDAR PARK PEDIATRIC DENTISTRY (Organization)	2051 CYPRESS CREEK RD CEDAR PARK, TX 78613 (512) 258-8888		Non-Participating Provider	NO
1821478900	KEVIN M BOWCUTT DDS PLLC JORDAN FAMILY DENTISTRY (Organization)	2501 S LAKELINE BLVD CEDAR PARK, TX 78613 (512) 258-7523		Non-Participating Provider	NO
1821544735	ARDITA ORMENI (Individual)	111 N VISTA RIDGE BLVD STE 101 CEDAR PARK, TX 78613 (512) 250-2356	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	Non-Participating Provider	NO
1821727322	RUCHIR PATEL (Individual)	2405 HUNTERS CREEK CV CEDAR PARK, TX 78613 (512) 497-7723	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1831270313	THOMAS ANDREW LINTON (Individual)	811 N. BELL BLVD. CEDAR PARK, TX 78613 (512) 918-8300	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831528512	MARKET STREET FAMILY DENTAL,PLLC (Organization)	2800 E WHITESTONE BLVD STE. 225 CEDAR PARK, TX 78613 (512) 337-0993		Non-Participating Provider	NO
1841833696	SARA SAFEYELDIN ELHUSSEINI MOHAMED AHMED (Individual)	2301 BAGDAD RD STE 201 CEDAR PARK, TX 78613 (512) 337-2578	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
1841860269	LYDIA JEAN SCHOELMAN (Individual)	1455 E WHITESTONE BLVD STE 127 CEDAR PARK, TX 78613 (512) 259-7171	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861517534	JAMES JONG-HYUK LEE (Individual)	111 N VISTA RIDGE BLVD STE 100 CEDAR PARK, TX 78613 (512) 250-2356	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1871641423	FRANCISCA GIPLE-JOHNSON (Individual)	401 E WHITESTONE BLVD SUITE C-105 CEDAR PARK, TX 78613 (512) 260-1238	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1881252237	REGINA YUNUSOV (Individual)	251 N BELL BLVD STE 106 CEDAR PARK, TX 78613 (512) 640-8240	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1881712198	AVERY ORTHODONTICS PA (Organization)	12171 W PARMER LANE SUITE 102 CEDAR PARK, TX 78613 (512) 260-0084		Non-Participating Provider	NO
1891496493	JUNG KANG (Individual)	3802 TURKEY PATH BND CEDAR PARK, TX 78613 (210) 278-6588	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891850103	RACHEL TRUEBLOOD (Individual)	1335 E WHITESTONE BLVD #128 CEDAR PARK, TX 78613 (512) 259-8888	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891885950	JASON WADE DYSON (Individual)	12171 W PARMER LN SUITE #101 CEDAR PARK, TX 78613 (512) 528-8900		Opted out of Medicare	YES
1902384415	VIAN G TARZI (Individual)	115 S LAKELINE BLVD STE 200 CEDAR PARK, TX 78613 (512) 640-3360	Aetna CVS Health 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 Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1912081837	BERT C. VASUT, DDS, PLLC (Organization)	2051 CYPRESS CREEK RD SUITE N CEDAR PARK, TX 78613 (512) 258-8888		Non-Participating Provider	NO
1912356486	PUNITA PONNUSAMY (Individual)	1511 RIMSTONE DR CEDAR PARK, TX 78613 (630) 946-9889	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 Companion Life Insurance Company Delta Dental PPO Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1912719295	RISE DENTAL, PLLC (Organization)	1651 S BELL BLVD UNIT 300 CEDAR PARK, TX 78613 (512) 325-6788		Non-Participating Provider	NO
1912917873	THEMBI-ANN EVANS (Individual)	3415 EL SALIDO PKWY STE A CEDAR PARK, TX 78613 (512) 257-2483	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1922467760	IDEAL DENTAL BRUSH CEDAR PARK PLLC (Organization)	1201 N BELL BLVD CEDAR PARK, TX 78613 (512) 462-3232	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 Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1932259249	TOMAS ALICEA (Individual)	401 E WHITESTONE BLVD CEDAR PARK, TX 78613 (512) 260-3777	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1942576319	SIREESHA R MOOLA (Individual)	409 DRY GULCH BND CEDAR PARK, TX 78613 (650) 245-7009	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1942871413	CEDAR PARK COMFORT DENTISTRY PLLC (Organization)	711 N BELL BLVD STE E CEDAR PARK, TX 78613 (512) 335-0265	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1952604266	CABALLERO DDS, CEDAR PARK, PC (Organization)	1201 NORTH BELL BLVD SUITE 102 CEDAR PARK, TX 78613 (512) 945-3204		Non-Participating Provider	NO
1962547125	JAY JERALD JENSEN (Individual)	209 DENALI PASS SUITE B CEDAR PARK, TX 78613 (512) 782-0821	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian	Non-Participating Provider	NO
1972097996	DANIEL YANG (Individual)	1468 E WHITESTONE BLVD STE 500 CEDAR PARK, TX 78613 (512) 528-5448	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1982155297	LEANDER PERIODONTICA PA (Organization)	2301 BAGDAD RD STE 201 CEDAR PARK, TX 78613 (512) 337-2578		Non-Participating Provider	NO
1982478152	MYWISDOM DENTAL PLLC (Organization)	500 W WHITESTONE BLVD STE 102 CEDAR PARK, TX 78613 (512) 528-5454		Non-Participating Provider	NO

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