Dentist Providers In Des Moines, Iowa

Search Dentist NPI records in Des Moines, IA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Des Moines, IA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 216, of which 60 are registered as organizations and 156 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.

72% Individuals

28% Organizations

24% Female

49% Male

72% Individual Providers (156)28% Medical Organizations (60)24% Female Providers (51)49% Male Providers (105)

Map of Providers

We have mapped the Dentist providers in Des Moines, IA 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 Des Moines, IA
NPI	Name	Address	Insurance	Medicare	PECOS
1003487711	KASSIE RAE SOPHER (Individual)	1345 E UNIVERSITY AVE DES MOINES, IA 50316 (515) 264-9022	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Humana Paramount Paramount Dental	Non-Participating Provider	NO
1013144476	KEVIN PAUL BAKER (Individual)	4232 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-4461	Blue Cross and Blue 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	Non-Participating Provider	YES
1033241575	JOSEPH J FRATIANNI (Individual)	4919 DOUGLAS AVE DES MOINES, IA 50310 (515) 278-2010		Non-Participating Provider	NO
1043507890	MOLLY BREMEN (Individual)	7600 FLEUR DR DES MOINES, IA 50321 (515) 650-4441	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 of Iowa Renaissance Dental	Non-Participating Provider	NO
1053380709	GERMAINE BELLO (Individual)	1801 HICKMAN RD DES MOINES, IA 50314 (515) 282-2200	Blue Cross and Blue 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	Non-Participating Provider	NO
1053407569	ROBERT C. MARGEAS (Individual)	1233 63RD ST. DES MOINES, IA 50311 (515) 277-6358	Blue Cross and Blue 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	Non-Participating Provider	NO
1063156859	KELSEY ELIZABETH EDWARDS (Individual)	2822 E 29TH ST DES MOINES, IA 50317 (515) 266-3437	Blue Cross and Blue 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
1063435816	MICHAEL JOSEPH HOWES (Individual)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1063562015	BRETT ANTHONY BARBER (Individual)	1233 63RD ST DES MOINES, IA 50311 (515) 277-6358	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 Iowa Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1063582898	ROBERT CHARLES DAHLBERG (Individual)	300 E LOCUST ST #310 DES MOINES, IA 50309 (515) 282-0447		Non-Participating Provider	YES
1063691962	KEITH A COLWELL DDS PC (Organization)	6057 SE 14TH ST DES MOINES, IA 50320 (515) 285-4759		Non-Participating Provider	NO
1063832624	RITI AGARWAL (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 of Iowa	Non-Participating Provider	YES
1063835569	OLIVER LEE WILLHAM (Individual)	7400 FLEUR DR STE 100 DES MOINES, IA 50321 (515) 285-6134		Non-Participating Provider	NO
1073937223	BROCK RADICH (Individual)	7400 FLEUR DR STE 200 DES MOINES, IA 50321 (515) 287-7773	Anthem Blue Cross and Blue Shield Delta Dental of Iowa	Opted out of Medicare	YES
1073993564	JOHN CAMPBELL (Individual)	4001 6TH AVE DES MOINES, IA 50313 (515) 288-1343	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1083827117	JEFFERY PURK (Individual)	4405 SW 9TH ST DES MOINES, IA 50315 (515) 287-3588	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1083860985	LUKE JAMES FREML (Individual)	7400 FLEUR DR DES MOINES, IA 50321 (515) 287-7773	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 of Iowa	Opted out of Medicare	YES
1093053951	BRIAN JAY MOSIER (Individual)	1816 BEAVER AVE DES MOINES, IA 50310 (515) 277-7786	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1093802480	DONALD WAYNE COPLEY (Individual)	609 E EUCLID DES MOINES, IA 50313 (515) 282-1359	Blue Cross and Blue 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	Non-Participating Provider	NO
1093877979	DRS WORK AND CARLSON PC (Organization)	1145 66TH ST DES MOINES, IA 50311 (515) 279-0856		Non-Participating Provider	NO
1104837046	DENTAL CONNECTIONS, INC. DENTAL CONNECTIONS (Organization)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	UnitedHealthcare	Non-Participating Provider	NO
1104850775	BARBARA ANN KNAPP (Individual)	505 FIFTH AVENUE SUITE 939 DES MOINES, IA 50309 (515) 243-4616		Non-Participating Provider	NO
1104907385	TIM P NICOLINO (Individual)	1004 E PARK AVE DES MOINES, IA 50315 (515) 244-7428	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 of Iowa Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1114098340	KEITH ALLAN COLWELL (Individual)	6057 SE 14TH ST DES MOINES, IA 50320 (515) 285-4759	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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	Non-Participating Provider	YES
1114337276	WALID ABDEL FATAH, DDS, PC ASPEN DENTAL (Organization)	3737 MERLE HAY RD DES MOINES, IA 50310 (515) 418-9848	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1114448388	JULIANE MARIE HERDER WINTERS (Individual)	1801 HICKMAN RD. BROADLAWNS MEDICAL CENTER DENTAL CLINIC DES MOINES, IA 50314 (507) 208-3792	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	YES
1114947132	RICHARD ALAN LYMAN (Individual)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400	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 of Iowa Florida Combined Life Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1124255799	HANS MICHAEL LEONARD (Individual)	1345 E UNIVERSITY AVE SUITE #302 DES MOINES, IA 50316 (515) 264-9022	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 of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1134268055	KYLE JAMES CONNOLLY (Individual)	4401 SW 9TH ST DES MOINES, IA 50315 (515) 285-9962	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1134399330	STEPHEN J. BURDS, D.D.S., L.L.C. (Organization)	1540 HIGH ST SUITE 201 DES MOINES, IA 50309 (515) 244-9565		Non-Participating Provider	NO
1134570039	JORDAN TERYN MAY (Individual)	2353 SE 14TH ST DES MOINES, IA 50320 (515) 248-1470	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1134805179	GRACE METTS (Individual)	1761 HICKMAN RD DES MOINES, IA 50314 (515) 282-2421	Delta Dental of Iowa	Non-Participating Provider	NO
1134859150	BRAXTON RISETTER (Individual)	4001 6TH AVE DES MOINES, IA 50313 (515) 228-1343	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1144294000	RICHARD H HALL (Individual)	7177 HICKMAN RD SUITE 1 DES MOINES, IA 50322 (515) 253-9655	Blue Cross and Blue 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
1144323924	HUB DENTAL CLINIC, PC SKYWALK HUB DENTAL CLINIC (Organization)	655 WALNUT ST SUITE 134B DES MOINES, IA 50309 (515) 243-6311		Non-Participating Provider	NO
1144488966	ANDREW WANLEY CHAN (Individual)	2600 GRAND AVENUE SUITE 400 DES MOINES, IA 50312 (515) 246-1933	Blue Cross and Blue 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	Non-Participating Provider	NO
1144711573	SENIORWELL OF IOWA LLC (Organization)	699 WALNUT ST FL 4 DES MOINES, IA 50309 (844) 882-3127		Non-Participating Provider	NO
1144951229	AI K HUA (Individual)	615 E 14TH ST DES MOINES, IA 50316 (515) 262-2655	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1154460863	STEPHEN J BURDS (Individual)	1540 HIGH ST SUITE 201 DES MOINES, IA 50309 (515) 244-9565	Blue Cross and Blue 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	Non-Participating Provider	YES
1154511582	MINDY S RICHTSMEIER (Individual)	1345 E UNIVERSITY AVE #302 DES MOINES, IA 50316 (515) 264-9022	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 of Iowa Guardian	Non-Participating Provider	NO
1164546305	MARY CAROL JOHNSON (Individual)	711 HIGH ST DES MOINES, IA 50392 (515) 362-2676		Non-Participating Provider	NO
1164901203	ANISHA CHERUVILLIL (Individual)	1200 UNIVERSITY AVE STE 100 DES MOINES, IA 50314 (515) 248-1888	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Humana Molina Healthcare	Non-Participating Provider	YES
1174063010	WAVELAND FAMILY DENTAL (Organization)	4232 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-4461		Non-Participating Provider	NO
1174417653	FOLEY DENTAL PLLC (Organization)	2505 WEDGEWOOD RD DES MOINES, IA 50317 (515) 265-1406		Non-Participating Provider	NO
1174600837	MICHELLE D MERCER (Individual)	4119 SW 9TH ST DES MOINES, IA 50315 (515) 281-0700	Guardian Humana	Non-Participating Provider	NO
1174609846	ZACHARY ANDREW KOURI (Individual)	3830 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-5151	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Blue Cross and Blue 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 Florida Combined Life Humana	Non-Participating Provider	YES
1174613483	RUSSELL ADAIR POTTS (Individual)	2601 E 14TH ST DES MOINES, IA 50316 (515) 265-3796	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
1194348144	DENTAL ASSOCIATES 2 DENTAL ASSOCIATES 2 PLLC (Organization)	4119 SW 9TH ST DES MOINES, IA 50315 (515) 281-0700	UnitedHealthcare	Non-Participating Provider	NO
1194896431	MARK DONALD SLOAN (Individual)	330 LAUREL ST SUITE 1400 DES MOINES, IA 50314 (515) 288-3543		Non-Participating Provider	NO
1205182250	CASEY J GREMORE (Individual)	330 LAUREL ST SUITE 1400 DES MOINES, IA 50314 (515) 288-3543	Blue Cross and Blue 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	YES
1205452877	RYAN PATRICK SHAW (Individual)	4119 SW 9TH ST DES MOINES, IA 50315 (515) 281-0700	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1205907896	DES MOINES DENTAL GROUP ROBERT W. CRAM, D.D.S. (Organization)	8515 DOUGLAS AVE SUITE 21 DES MOINES, IA 50322 (515) 278-2361		Non-Participating Provider	NO
1215621941	ALLISON MARIE SCHOLLMEYER (Individual)	1200 UNIVERSITY AVE STE 100 DES MOINES, IA 50314 (515) 248-1888	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1235219262	DAVID C COLLIER (Individual)	612 LOCUST ST SUITE #2 DES MOINES, IA 50309 (515) 280-3030		Non-Participating Provider	NO
1235582644	ADRIAN ELIZABETH FISHER (Individual)	4930 SE 14TH ST DES MOINES, IA 50320 (515) 650-9483	Aetna CVS Health Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas Inc. Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245487859	JESSICA BROOKE JOHNSON (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 of Iowa Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1245883958	ZULEIMA SANTIAGO DEL TORO (Individual)	4944 FRANKLIN AVE STE A DES MOINES, IA 50310 (515) 277-0222	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1255439691	ANDREW W CHAN DDS PC (Organization)	2600 GRAND AVENUE SUITE 400 DES MOINES, IA 50312 (515) 246-1933		Non-Participating Provider	NO
1265131577	ANANTHA RAGHUMUDRI (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 708-9880	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 of Iowa Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1265204234	IOWA DENTAL GROUP LLC (Organization)	1233 63RD ST DES MOINES, IA 50311 (515) 277-6358		Non-Participating Provider	NO
1265814578	BEN ROEMMICH (Individual)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1275504177	ORAL SURGEONS, P.C. (Organization)	3940 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-9151		Non-Participating Provider	NO
1275618886	PEDIATRIC DENTISTRY OF CENTRAL IOWA, P.C. PEDIATRIC DENTISTRY (Organization)	1000 73RD ST SUITE 10 DES MOINES, IA 50324 (515) 223-1298		Non-Participating Provider	NO
1285995530	FORT DES MOINES DENTAL (Organization)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400		Non-Participating Provider	NO
1306075239	ISAAC JOHN CLAIR (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa	Non-Participating Provider	NO
1306318852	KIMBALL & BEECHER DES MOINES PLLC (Organization)	6150 SE 14TH ST DES MOINES, IA 50320 (515) 287-6900	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1316518103	SETH MICHAEL DUNNE (Individual)	801 GRAND AVE STE 150 DES MOINES, IA 50309 (515) 243-3419	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1316519838	KELLEN MATTHEW BOHN (Individual)	4551 FLEUR DR DES MOINES, IA 50321 (563) 340-1527	Blue Cross and Blue 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	Non-Participating Provider	NO
1326060633	DAVID JOHN LICKTEIG (Individual)	4919 DOUGLAS AVE STE. 10 DES MOINES, IA 50310 (515) 278-2010	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1326422122	JASON SCORESBY (Individual)	615 E 14TH ST DES MOINES, IA 50316 (515) 262-2655	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1326775263	MADELINE HOPE RITTER (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1336595941	MICHELLE PETERS (Individual)	7400 FLEUR DR STE 200 DES MOINES, IA 50321 (515) 287-7773	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 of Iowa	Opted out of Medicare	NO
1346940103	EMERGENCY DENTIST LLC DBA EMERGENCY DENTIST DES MOINES (Organization)	801 GRAND AVE # 150B DES MOINES, IA 50309 (515) 631-4994		Non-Participating Provider	NO
1356578975	TAE JAYMES BARTO (Individual)	6057 SE 14TH ST DES MOINES, IA 50320 (515) 285-4759	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1356893283	AUSTIN PRESCOTT FOSTER (Individual)	7400 FLEUR DR STE 100 DES MOINES, IA 50321 (515) 285-6134	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
1366051831	FRANKIE CHYI (Individual)	1200 UNIVERSITY AVE STE 100 DES MOINES, IA 50314 (515) 248-1888	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 Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1366559783	JOHN E CAMPBELL (Individual)	215 EUCLID AVE DES MOINES, IA 50313 (515) 288-1343	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1376353557	INAYAAT VIRK (Individual)	4930 SE 14TH ST DES MOINES, IA 50320 (515) 395-5099		Non-Participating Provider	NO
1376700260	THOMAS J LYLE DDS PC (Organization)	2707 EASTON BLVD DES MOINES, IA 50317 (515) 265-0339		Non-Participating Provider	NO
1386087658	MICHAEL MORIO (Individual)	7400 FLEUR DR STE 200 DES MOINES, IA 50321 (515) 287-7773	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 of Iowa	Opted out of Medicare	YES
1386253839	SHELDON TATE STENDER (Individual)	5706 HICKMAN RD DES MOINES, IA 50310 (515) 318-7248	Anthem Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana UnitedHealthcare	Non-Participating Provider	NO
1386710259	MOSIER DENTAL ASSOCIATES BRIAN J MOSIER (Organization)	1816 BEAVER AVE DES MOINES, IA 50310 (515) 277-7986	UnitedHealthcare	Non-Participating Provider	NO
1386847630	JOHN D. JANULEWICZ (Individual)	7400 FLEUR DRIVE SUITE 200 DES MOINES, IA 50321 (515) 287-7773	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 of Iowa	Opted out of Medicare	YES
1386922912	GEORGIANNE NICOLE NELSON (Individual)	1345 E UNIVERSITY AVE # 302 DES MOINES, IA 50316 (515) 264-9022	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 Iowa Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1407003007	JASPREET KAUR CHOUDHARY (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 of Iowa Guardian	Non-Participating Provider	YES
1407014798	MARK J HILLMAN DDS (Organization)	4119 SW 9TH STREET DES MOINES, IA 50315 (515) 281-0700		Non-Participating Provider	NO
1407744584	DENTISTRYONE OF IOWA PC (Organization)	309 COURT AVE STE 200 DES MOINES, IA 50309 (877) 712-7875		Non-Participating Provider	NO
1427128370	DANIEL PHILLIP BARTLETT (Individual)	1000 73RD ST STE 1 DES MOINES, IA 50311 (515) 223-5001		Non-Participating Provider	NO
1437288693	YOUNG GENERAL DENTAL PRACTICE, PC (Organization)	4919 DOUGLAS AVE SUITE 10 DES MOINES, IA 50310 (515) 278-2010		Non-Participating Provider	NO
1447000765	EMMA LAUREN BALLER (Individual)	1200 UNIVERSITY AVE STE 100 DES MOINES, IA 50314 (515) 248-1888	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1447339262	ANTHONY LEE DELANCEY (Individual)	3830 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-5151	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Blue Cross and Blue 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 Florida Combined Life Humana	Non-Participating Provider	NO
1447812318	DENTAL CONNECTIONS, INC. NOLDEN GENTRY DENTAL CLINIC (Organization)	1000 PORTER AVE DES MOINES, IA 50315 (515) 244-9136		Non-Participating Provider	NO
1457026767	DAMON POGONCHEFF (Individual)	4930 SE 14TH ST DES MOINES, IA 50320 (515) 395-9519	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1457911091	APPLEWHITE DENTAL IOWA PC UNIVERSITY DENTAL GROUP (Organization)	4626 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-3766		Non-Participating Provider	NO
1477601094	NICK ALAN HOOKER (Individual)	2353 SE 14TH ST DES MOINES, IA 50320 (515) 248-1470	Blue Cross and Blue 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
1477611267	BOYD N NORDMARK DDS PC (Organization)	619 W EUCLID AVENUE DES MOINES, IA 50313 (515) 243-2221		Non-Participating Provider	NO
1477720605	MOTZ DENTISTRY, PC ALL ABOUT SMILES, PC (Organization)	2476 E EUCLID AVE DES MOINES, IA 50317 (515) 262-1923		Non-Participating Provider	NO
1487093258	PETER MICHAEL BLOUGH (Individual)	1111 9TH ST SUITE 190 DES MOINES, IA 50314 (515) 244-9136	Delta Dental of Iowa Guardian	Opted out of Medicare	NO
1487721171	CAROL LEE CLEAVER (Individual)	4551 FLEUR DR DES MOINES, IA 50321 (515) 287-2493	Blue Cross and Blue 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	Non-Participating Provider	NO
1497823157	MICHAEL J. FLATTERY (Individual)	2505 WEDGEWOOD RD DES MOINES, IA 50317 (515) 265-1406	Blue Cross and Blue 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	Non-Participating Provider	YES
1497912950	TERRY R RIECK DDS PC (Organization)	4019 INGERSOLL AVE DES MOINES, IA 50312 (515) 255-1195	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1508978602	CHADWICK AARON JOHNSON (Individual)	3710 MERLE HAY ROAD DES MOINES, IA 50310 (515) 255-5122		Non-Participating Provider	YES
1518034883	KENT DENNIS BRADY (Individual)	3755 E 33RD ST DES MOINES, IA 50317 (515) 422-9888	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	YES
1518526763	NICHOLAS STEPHEN ECONOMOS (Individual)	1233 63RD ST DES MOINES, IA 50311 (515) 277-6358	Delta Dental of Iowa	Non-Participating Provider	NO
1538103288	KATHERINE ELSNER ELSNER (Individual)	4626 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-3766		Non-Participating Provider	NO
1538828678	INGERSOLL FAMILY DENTISTRY (Organization)	2800 INGERSOLL AVE DES MOINES, IA 50312 (515) 243-2412		Non-Participating Provider	NO
1548231434	SCOTT A JOHNSON (Individual)	3940 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-9151	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 of Iowa	Opted out of Medicare	YES
1548820368	APPLEWHITE DENTAL IOWA PC METHODIST PLAZA DENTAL GROUP (Organization)	1212 PLEASANT ST STE 102 DES MOINES, IA 50309 (515) 243-5070		Non-Participating Provider	NO
1548986334	APPLEWHITE DENTAL IOWA PC (Organization)	1540 HIGH ST STE 201 DES MOINES, IA 50309 (515) 244-9565		Non-Participating Provider	NO
1558332445	JOHN A FRANK (Individual)	3940 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-9151		Opted out of Medicare	YES
1558375741	CRAIG SPARKS SANDLE (Individual)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400		Non-Participating Provider	NO
1558383075	MARK RICHARD LAZAR (Individual)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400	Guardian	Non-Participating Provider	NO
1558436378	CRAIG CHRISTOPHER CORREY (Individual)	2580 HUBBELL AVE DES MOINES, IA 50317 (515) 265-0311	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 UnitedHealthcare	Non-Participating Provider	YES
1558538033	ALLCARE DENTAL & DENTURES OF IA PC (Organization)	3710 MERLE HAY RD DES MOINES, IA 50310 (515) 270-1615		Non-Participating Provider	NO
1558884684	GARNER FAMILY DENTAL (Organization)	3311 SW 9TH ST STE 200 DES MOINES, IA 50315 (515) 243-7641	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1558973826	MATTA DENTAL CARE PLC (Organization)	2476 E EUCLID AVE DES MOINES, IA 50317 (515) 262-1923		Non-Participating Provider	NO
1568595833	METHODIST PLAZA DENTAL GRP (Organization)	1212 PLEASANT STREET SUITE 102 DES MOINES, IA 50309 (515) 243-5070		Non-Participating Provider	NO
1568662906	RYAN LEE RILEY (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 of Iowa Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1578602611	RANDAL R SINNARD (Individual)	4401 SW 9TH ST DES MOINES, IA 50315 (515) 285-9990	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 UnitedHealthcare	Non-Participating Provider	NO
1578688545	ADAM FREDRICK FULLER (Individual)	3223 E 29TH STREET DES MOINES, IA 50317 (515) 266-2128	Blue Cross and Blue 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
1578697058	WILLHAM ORTHODONTICS (Organization)	7400 FLEUR SUITE 100 DES MOINES, IA 50321 (515) 285-6134		Non-Participating Provider	NO
1588019863	COURTNEY BOHN (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 of Iowa Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1588082739	DENTISTRY ON 5TH (Organization)	505 5TH AVE SUITE 939 DES MOINES, IA 50309 (515) 243-4616		Non-Participating Provider	NO
1588279350	PARKER ALAN DRAKE (Individual)	2353 SE 14TH ST DES MOINES, IA 50320 (515) 248-1470	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1588709737	FLEUR DENTISTRY, L.L.P. (Organization)	4551 FLEUR DR DES MOINES, IA 50321 (515) 287-2493		Non-Participating Provider	NO
1598443053	MICHAELA JILL JOHNSON (Individual)	615 E 14TH ST DES MOINES, IA 50316 (515) 262-2655	BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1598836025	LAWRENCE CRAIG NELSON (Individual)	604 LOCUST ST SUITE 702 DES MOINES, IA 50309 (515) 288-0433	Guardian	Non-Participating Provider	NO
1598877755	O'MEARA DENTAL (Organization)	1000 73RD STREET SUITE 7 DES MOINES, IA 50311 (515) 243-0591		Non-Participating Provider	NO
1598971491	DENNIS P O'MEARA (Individual)	1000 73RD ST. SUITE 7 DES MOINES, IA 50311 (515) 243-0591	Blue Cross and Blue 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
1609848878	BROADLAWNS MEDICAL CENTER BROADLAWNS MEDICAL CENTER DENTAL CLINIC (Organization)	1801 HICKMAN RD DES MOINES, IA 50314 (515) 282-2421		Non-Participating Provider	NO
1619359726	ORHAN SULJIC (Individual)	4919 DOUGLAS AVE SUITE 10 DES MOINES, IA 50310 (515) 278-2010	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Dentegra Insurance Company Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1619907946	DAVID CHARLES MOTZ (Individual)	2476 E EUCLID AVE DES MOINES, IA 50317 (515) 262-1923	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1619958600	BERNARD L. GRADOVILLE (Individual)	2800 INGERSOLL AVE DES MOINES, IA 50312 (515) 243-2412	Blue Cross and Blue 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	Non-Participating Provider	YES
1629282587	MICHAEL STEWART HIPP (Individual)	4231 UNIVERSITY AVE DES MOINES, IA 50311 (515) 274-2511		Non-Participating Provider	NO
1629324785	JOSEPH P TESENE DDS PC ASPEN DENTAL (Organization)	4930 SE 14TH ST DES MOINES, IA 50320 (515) 953-6000		Non-Participating Provider	NO
1629638937	DAVID ROBERT LYLE (Individual)	2707 EASTON BLVD DES MOINES, IA 50317 (515) 265-0339	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 of Iowa	Non-Participating Provider	NO
1629685722	CANDID IOWA, P.C. (Organization)	309 COURT AVE STE 815 DES MOINES, IA 50309 (860) 481-7631		Non-Participating Provider	NO
1639132228	TERRY RAE RIECK (Individual)	2815 BEAVER AVE SUITE 110 DES MOINES, IA 50310 (515) 255-1195	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1639217102	JOHN BRADLEY GREINER (Individual)	4214 FLEUR DR SUITE 6 DES MOINES, IA 50321 (515) 285-1694	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1639594484	TRIPTI DERVESH (Individual)	1345 E. UNIVERSITY AVENUE #302 DES MOINES, IA 50316 (515) 264-9022	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Humana Paramount Paramount Dental	Non-Participating Provider	NO
1649478355	ANDRIS V KIRSIS (Individual)	2901 BEAVER AVE DES MOINES, IA 50310 (515) 279-6413	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1649651795	LAURA WILMES BROWN (Individual)	5921 SE 14TH ST STE 1500 DES MOINES, IA 50320 (515) 285-4759	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Nebraska Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1659065977	OLIVIA KNOWLES (Individual)	2580 HUBBELL AVE DES MOINES, IA 50317 (515) 265-0311	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Blue Cross and Blue 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 Florida Combined Life Guardian UnitedHealthcare	Non-Participating Provider	NO
1659342848	MARVIN C JEPSEN (Individual)	3940 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-9151		Non-Participating Provider	NO
1659565349	INGERSOLL DENTAL GROUP PC (Organization)	3830 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-5151	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1669443651	JEFFERY A SCHWARZKOPF (Individual)	3940 INGERSOLL AVE DES MOINES, IA 50312 (515) 274-9151	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 of Iowa	Opted out of Medicare	YES
1669546669	JOHN R KEARNS (Individual)	4551 FLEUR DR DES MOINES, IA 50321 (515) 287-2493	Blue Cross and Blue 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
1669738902	TAE HJ BARTO DDS SOUTHSIDE DENTAL CLINIC (Organization)	6057 SE 14TH ST DES MOINES, IA 50320 (515) 285-4759	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1679602825	PHILIP EUGENE YOUNG (Individual)	4919 DOUGLAS AVE SUITE 10 DES MOINES, IA 50310 (515) 278-2010	Guardian	Non-Participating Provider	NO
1679621320	STEFANIE COLLEEN DONNELL-RANDALL (Individual)	2353 SE 14TH ST DES MOINES, IA 50320 (515) 248-1470	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1679622922	JOHN GOODRICH (Individual)	4919 DOUGLAS AVE SUITE 12 DES MOINES, IA 50310 (515) 276-3664	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1689072217	SLEEP TIGHT APPLIANCES (Organization)	1540 HIGH ST SUITE 201 DES MOINES, IA 50309 (515) 244-0329		Non-Participating Provider	NO
1689108433	A PLUS IOWA DENTAL PLLC (Organization)	4730 SW 9TH ST DES MOINES, IA 50315 (515) 287-0011	UnitedHealthcare	Non-Participating Provider	NO
1689108433	A PLUS IOWA DENTAL PLLC (Organization)	4730 SW 9TH ST DES MOINES, IA 50315 (515) 287-0011	UnitedHealthcare	Non-Participating Provider	NO
1689696932	MICHAEL J GEIS (Individual)	6150 SE 14TH ST SUITE B DES MOINES, IA 50320 (515) 287-6900	Blue Cross and Blue 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
1689743502	CHAD A KING (Individual)	4919 DOUGLAS AVE STE 10 DES MOINES, IA 50310 (515) 278-2010	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1699516237	KATIE SPENCER (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	Delta Dental of Iowa	Non-Participating Provider	NO
1699726414	THOMAS G WILSON (Individual)	8515 DOUGLAS AVE STE 26 DES MOINES, IA 50322 (515) 278-2333		Non-Participating Provider	NO
1699855254	RICO LOUIS BERTAGNOLLI (Individual)	921 E 23RD ST DES MOINES, IA 50317 (515) 262-9581	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 of Iowa Humana	Non-Participating Provider	NO
1700043569	RASTETTER DENTAL PC DOUGLAS DENTAL PC (Organization)	6128 DOUGLAS AVE DOUGLAS DENTAL PC DES MOINES, IA 50322 (515) 270-6809		Non-Participating Provider	NO
1700053055	SKYWALK DENTAL OFFICE DAVID C COLLIER, DDS (Organization)	612 LOCUST ST SUITE 2 DES MOINES, IA 50309 (515) 280-3030		Non-Participating Provider	NO
1700899358	WILLIAM E SKINNER (Individual)	5525 MEREDITH DRIVE SUITE A DES MOINES, IA 50310 (515) 278-2888	Blue Cross and Blue 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 Humana Renaissance Dental	Non-Participating Provider	NO
1700951209	DWIGHT W RASTETTER (Individual)	6128 DOUGLAS AVE DES MOINES, IA 50322 (515) 270-6809	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Blue Cross and Blue 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 Florida Combined Life UnitedHealthcare	Opted out of Medicare	YES
1710057096	RANDALL JAMES RUISCH (Individual)	1000 73RD ST., STE 1 DES MOINES, IA 50311 (515) 223-5001		Non-Participating Provider	NO
1720139173	BRUCE CHARLES HEILMAN (Individual)	4211 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-4461		Non-Participating Provider	NO
1720333230	CORBIN GARRETT BRADY (Individual)	3755 E 33RD ST DES MOINES, IA 50317 (515) 422-9888	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1720465651	JOHN BIEGERT (Individual)	4119 SW 9TH ST DES MOINES, IA 50315 (515) 281-0700	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Guardian	Non-Participating Provider	YES
1730593765	CHRIS E STEVENSON (Individual)	1345 E UNIVERSITY AVE # 302 DES MOINES, IA 50316 (515) 264-9022	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue 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 of Iowa Guardian Humana	Opted out of Medicare	YES
1740355890	MARK EDWARD GEIS (Individual)	6150 SE 14TH ST SUITE B DES MOINES, IA 50320 (515) 287-6900	Blue Cross and Blue 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
1740457167	ROBERT E GRASK (Individual)	655 WALNUT ST SUITE 134B DES MOINES, IA 50309 (515) 243-6311		Non-Participating Provider	YES
1750461315	DEBBIE ANN NANDA (Individual)	4954 FRANKLIN AVE DES MOINES, IA 50310 (515) 277-0222	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1750479879	MARION JANE BLOUNT (Individual)	4803 UNIVERSITY AVE DES MOINES, IA 50311 (515) 279-3685	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1760558522	JOHN A REED (Individual)	4401 SW 9TH ST DES MOINES, IA 50315 (515) 285-9962	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1770629339	STEVEN CRAIG FULLER (Individual)	2822 E 29TH ST DES MOINES, IA 50317 (515) 266-3437	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1780244699	MARISA ANN HEISTERKAMP (Individual)	615 E 14TH ST DES MOINES, IA 50316 (515) 262-2655	BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1780891846	VIKAS GOEL (Individual)	612 LOCUST ST STE 2 DES MOINES, IA 50309 (515) 280-3030	Anthem Blue Cross and Blue Shield BEST Life Delta Dental of Iowa Humana	Non-Participating Provider	NO
1790987790	EDGAR LEE SMITH (Individual)	1820 80TH JSTREET DES MOINES, IA 50322 (515) 276-0830		Non-Participating Provider	NO
1801093067	RYAN A MARSH (Individual)	7400 FLEUR DR STE 200 DES MOINES, IA 50321 (515) 287-7773	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 of Iowa	Opted out of Medicare	YES
1801684485	ALL SMILES DENTAL GROUP PLLC (Organization)	4944 FRANKLIN AVE STE A DES MOINES, IA 50310 (515) 277-0222		Non-Participating Provider	NO
1801919576	OCEAN DENTAL OF IOWA (Organization)	1345 E UNIVERSITY AVE # 302 DES MOINES, IA 50316 (515) 264-9022	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1811077399	JOHN CURTIS MCCARTNEY (Individual)	4954 FRANKLIN AVE DES MOINES, IA 50310 (515) 277-0222	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
1811166440	DANIEL JAMES VENKER (Individual)	3710 MERLE HAY RD DES MOINES, IA 50310 (515) 270-1615		Non-Participating Provider	NO
1811367972	JASON SINHEE HONG (Individual)	4730 SW 9TH ST DES MOINES, IA 50315 (515) 287-0011	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1811474927	DOWNTOWN SMILES (Organization)	505 5TH AVE STE 939 DES MOINES, IA 50309 (515) 243-4616		Non-Participating Provider	NO
1811982077	HAYLEY HARVEY (Individual)	1801 HICKMAN RD BROADLAWNS MEDICAL CENTER DES MOINES, IA 50314 (515) 282-2319	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 of Iowa Guardian	Non-Participating Provider	YES
1831204783	RODNEY DUANE SNAVELY (Individual)	3102 INGERSOLL AVE DES MOINES, IA 50312 (515) 279-0926		Non-Participating Provider	YES
1831625714	DES MOINES DENTAL CARE, P.C. (Organization)	330 LAUREL ST SUITE 1400 DES MOINES, IA 50314 (515) 288-3543		Non-Participating Provider	NO
1831690072	SHERRI CHYI (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1831716448	SHELBY ROSZHART (Individual)	1540 HIGH ST STE 201 DES MOINES, IA 50309 (515) 244-9565	Blue Cross and Blue 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	Opted out of Medicare	NO
1841321130	DOUGLAS B HUTCHISON (Individual)	604 LOCUST ST SUITE 510 DES MOINES, IA 50309 (515) 243-3419	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	YES
1841322682	CLAYTON ALLEN LINQUIST (Individual)	4224 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-6183	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1851441596	THOMAS ZISKO (Individual)	932 42ND ST DES MOINES, IA 50312 (515) 277-3551		Non-Participating Provider	NO
1861126278	CAPITAL VIEW DENTISTRY (Organization)	615 E 14TH ST DES MOINES, IA 50316 (515) 262-2655	UnitedHealthcare	Non-Participating Provider	NO
1861506081	ROGER LEE BROWN (Individual)	3600 30TH ST DES MOINES, IA 50310 (515) 699-5831		Non-Participating Provider	NO
1861546327	UNIVERSITY DENTAL GROUP, P.C. (Organization)	4626 UNIVERSITY AVE DES MOINES, IA 50311 (515) 277-3766		Non-Participating Provider	NO
1861716599	IOWA DENTAL CLINIC, PC (Organization)	5601 HICKMAN RD SUITE-5 DES MOINES, IA 50310 (515) 314-9169	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1871163782	ALLYSON RENEE ORWIG (Individual)	801 GRAND AVE STE 150 DES MOINES, IA 50309 (515) 243-3419	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 of Iowa Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1881104933	SAFA NOUREEN SHAMS SAFA MOHD SHAMSHUDDIN (Individual)	4730 SW 9TH ST DES MOINES, IA 50315 (515) 287-0011	Ambetter Health Ambetter Health of Delaware Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1881749893	EMERGENCY DENTAL CARE USA (Organization)	4409 SW 9TH ST DES MOINES, IA 50315 (515) 287-2006		Non-Participating Provider	NO
1891849287	KENT DELOS KAPLAN (Individual)	600 E EUCLID AVE DES MOINES, IA 50313 (515) 282-7074	Delta Dental of Iowa	Non-Participating Provider	NO
1902938699	C FREDRICK FULLER (Individual)	3223 E 29TH ST DES MOINES, IA 50317 (515) 266-2128		Non-Participating Provider	NO
1912389016	TRUNG PHAN (Individual)	4919 DOUGLAS AVE SUITE #10 DES MOINES, IA 50310 (515) 278-2010	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1932369162	JOHN PAUL CAVANAUGH (Individual)	1212 PLEASANT ST SUITE 102 DES MOINES, IA 50309 (515) 243-5070	Blue Cross and Blue 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
1932584638	MALLORY CROSS (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	Blue Cross and Blue 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	Non-Participating Provider	YES
1942307756	DARLENE RENEA PARRISH (Individual)	1345 E. UNIVERSITY AVENUE STE 302 DES MOINES, IA 50316 (515) 264-9022	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue 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 WellCare of North Carolina	Non-Participating Provider	NO
1942390349	MARK JAY HILLMAN (Individual)	4119 SW 9TH ST DES MOINES, IA 50315 (515) 281-0700		Non-Participating Provider	NO
1942756713	LAUREN PATRICK (Individual)	6100 SW 9TH ST DES MOINES, IA 50315 (515) 287-5400	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Dentegra Insurance Company Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1952413049	JENNIFER ANN MAIN (Individual)	3102 INGERSOLL AVE. DES MOINES, IA 50312 (515) 279-0926	Blue Cross and Blue 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
1962661256	DR. RICO BERTAGNOLLI FAMILY DENTISTRY,P.C. (Organization)	921 E 23RD ST DES MOINES, IA 50317 (515) 262-9581		Non-Participating Provider	NO
1962708743	POOJITHA CHANDRASEKHAR (Individual)	4930 SE 14TH ST DES MOINES, IA 50320 (515) 953-6000	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1972172385	MORGAN LAUER (Individual)	5921 SE 14TH ST STE 1500 DES MOINES, IA 50320 (515) 285-4759	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 of Iowa Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1982085072	HANNAH CAROLINE BROWNLEE (Individual)	801 GRAND AVE STE 150 DES MOINES, IA 50309 (515) 243-3419	Guardian	Non-Participating Provider	YES
1982192373	AUDREY ISABELLA URIDIL (Individual)	1111 9TH ST STE 190 DES MOINES, IA 50314 (515) 244-9136	Anthem Blue Cross and Blue Shield Delta Dental of Iowa	Non-Participating Provider	NO
1982266979	DENTAL CONNECTIONS, INC. SMILE SQUAD (Organization)	1111 9TH STREET SUITE 190 DES MOINES, IA 50314 (515) 244-9136		Non-Participating Provider	NO
1982871208	FRANKLIN PLAZA FAMILY DENTISTRY, P.C. (Organization)	4954 FRANKLIN AVE DES MOINES, IA 50310 (515) 277-0222	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from NH Healthy Families Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1982959722	BRETT JONES (Individual)	615 E 14TH ST DES MOINES, IA 50316 (515) 262-2655	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Iowa Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES

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