Dentist Providers In Effingham, Illinois

Search Dentist NPI records in Effingham, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Effingham, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 72, of which 20 are registered as organizations and 52 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

29% Female

43% Male

72% Individual Providers (52)28% Medical Organizations (20)29% Female Providers (21)43% Male Providers (31)

Map of Providers

We have mapped the Dentist providers in Effingham, IL 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 Effingham, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1003240540	CHRISTOPHER V BALDA (Individual)	401 E WASHINGTON AVE EFFINGHAM, IL 62401 (217) 342-3411		Non-Participating Provider	NO
1023741873	JACQUELINE ELIZABETH WITHERELL (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 427-8058	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1033326517	ALISA TAYLOR (Individual)	1200 NETWORK CENTRE DR SUITE B EFFINGHAM, IL 62401 (217) 540-5800	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1043886716	RACHEL SHEPARD (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1073181947	KOURTNEY STOMBAUGH (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (618) 288-6699	Ambetter from Home State Health 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 Companion Life Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1083845457	CHARLES ALLEN SCHUMACHER (Individual)	602 EDEN DRIVE EFFINGHAM, IL 62401 (217) 347-6453		Non-Participating Provider	NO
1093140501	LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. GLEN BURNIE DENTAL CARE (Organization)	1200 NETWORK CENTRE DRIVE SUITE #2 EFFINGHAM, IL 62401 (217) 540-8946		Non-Participating Provider	NO
1093384240	DAKOTA POTTLE (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1114139011	DENTAL PROFESSIONALS OF ILLINOIS, P.C. HEARTLAND FAMILY DENTAL CARE (Organization)	1379 N OUTER BELT W EFFINGHAM, IL 62401 (217) 540-5000	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1114586237	ANTHONY TOSSONA (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1124687249	DERICK BRIGHT (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1144759242	NEGAR MAHMOUDZADEH (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1164049276	RAFAEL MARTINEZ (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164683819	HEARTLAND DENTAL CARE OF OH, RICHARD E WORKMAN, DMD PS (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1194391805	VICTOR GEORGE (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1205907581	THOMAS W FONNER (Individual)	100 GREENVIEW DR STE B EFFINGHAM, IL 62401 (217) 540-5348	Ambetter from Home State Health 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 Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Accepts Medicare	YES
1225299985	HEARTLAND DENTAL CARE OF TN, PC (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1255560140	ALISON CONANT (Individual)	1200 NETWORK CENTRE DR STE B EFFINGHAM, IL 62401 (217) 540-5800	Ambetter from Home State Health 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 Companion Life Insurance Company Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1265099444	KELLY HYNES (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	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 Delta Dental of Arizona EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1275191298	CINTHIA FUNES (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1285292698	BRANDI DINH (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	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 Cigna Healthcare Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1285302331	RANA ABDEL SALAM (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Ambetter from Absolute Total Care Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1326608589	JEAN GEORGE (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	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 Cigna Healthcare Delta Dental Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1326658683	ALEXA FRITZ (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1356509806	AFFORDABLE DENTISTRY TODAY, PC (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1376977819	VAN THUY THI BUI (Individual)	401 E WASHINGTON AVE EFFINGHAM, IL 62401 (217) 868-9444		Non-Participating Provider	NO
1386202273	LINDSEY SHALL (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386296606	HARITHA NALLAPARAJU (Individual)	900 W TEMPLE AVE STE 208 EFFINGHAM, IL 62401 (217) 342-0211	Ambetter from Home State Health 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 Oklahoma Blue Cross and Blue Shield of Texas DentaQuest Insurance Company Inc- IL Dominion National Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1427676485	MARIANNINA SAVOCA ASTUDILLO (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1427702885	DENTAL HEALTH PROFESSIONALS OF COLORADO COLORADO PRECISION DENTISTRY (Organization)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-8306		Non-Participating Provider	NO
1437378098	JEFFREY R STEVENSON (Individual)	310 W JEFFERSON AVE EFFINGHAM, IL 62401 (217) 342-3850	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1457910200	KRISTEN TRACY (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	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 Cigna Healthcare Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1467013854	CHRISTINE KERRIGAN (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (219) 540-8386	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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1508969700	GREGORY J CAMPOS (Individual)	508 W JEFFERSON AVE EFFINGHAM, IL 62401 (217) 347-4100		Opted out of Medicare	YES
1568086718	JAIME RUIZ JR. (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1578633665	TED B KOESTER DMD PC CORPORATION (Organization)	111 SOUTH FIRST STREET EFFINGHAM, IL 62401 (217) 342-4494	UnitedHealthcare	Non-Participating Provider	NO
1588100325	EFFINGHAM FAMILY DENTAL LTD (Organization)	310 W JEFFERSON AVE EFFINGHAM, IL 62401 (217) 342-3850		Non-Participating Provider	NO
1588612386	THE CENTER FOR JAW AND FACIAL SURGERY, P.C. (Organization)	901 MEDICAL PARK DR SUITE 200 EFFINGHAM, IL 62401 (217) 342-4444		Non-Participating Provider	NO
1598811499	BRIAN A. BALDA, D.M.D.,P.C. BALDA DENTAL OFFICE (Organization)	401 E WASHINGTON AVE EFFINGHAM, IL 62401 (217) 342-3411		Non-Participating Provider	NO
1609880491	CHARLES ROBERT HORIN (Individual)	606 S 4TH ST EFFINGHAM, IL 62401 (217) 342-6288	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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
1639738248	AMALIO MONTEZ (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1649304759	SCOTT MOORE (Individual)	700 N KELLER DR EFFINGHAM, IL 62401 (217) 347-0588	Ambetter from Home State Health 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 Companion Life Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1659583656	LIFETIME DENTAL CARE OF ILLINOIS, PC EFFINGHAM DENTAL GROUP (Organization)	700 N KELLER EFFINGHAM, IL 62401 (217) 347-0588	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1669030557	KRISHNA DIPNARINE (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1669633327	HEARTLAND DENTAL CARE OF VIRGINIA, PC (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1679197834	ANDREW GUIRGUIS (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-5100	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 Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1679731145	LIFETIME DENTAL CARE OF ILLINOIS, PC (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1679733976	CENTRAL ILLINOIS ORAL & MAXILLOFACIAL SURGERY (Organization)	1200 NETWORK CENTRE DR STE A EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1689234080	BHOOSHIR PATEL (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (920) 287-3166	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1699333005	MARINA GABRIEL (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1720605165	CLAIRE CHRISTINE LUSTIG (Individual)	107 S 3RD ST EFFINGHAM, IL 62401 (217) 298-3636	Blue Cross and Blue 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
1730340480	HEARTLAND FAMILY DENTAL CARE OF MISSOURI - RICHARD E WORKMAN, DMD PC (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1730669573	KYLE D. PATCH (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-5100	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 of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1730790056	THOMAS KNAPE (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter from Absolute Total Care 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 Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1740384825	MARGARET JANE MERRY-NIEBRUGGE (Individual)	107 S THIRD ST EFFINGHAM, IL 62401 (217) 347-5076	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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental	Opted out of Medicare	YES
1770605164	STEPHEN WILLENBORG (Individual)	610 N KELLER DR EFFINGHAM, IL 62401 (217) 347-7021	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 of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1801040019	BRIAN A BALDA (Individual)	401 E WASHINGTON AVE EFFINGHAM, IL 62401 (217) 342-3411		Non-Participating Provider	NO
1811166614	JAY IVOR SWANSON (Individual)	901 MEDICAL PARK DR EFFINGHAM, IL 62401 (217) 342-4444	Delta Dental of Illinois	Accepts Medicare	YES
1811209786	SEAN R MORGAN (Individual)	900 W TEMPLE AVE SUITE 208 EFFINGHAM, IL 62401 (217) 342-0211	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1811663776	DENTAL PROFESSIONALS OF ILLINOIS, P.C. (Organization)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-2200		Non-Participating Provider	NO
1841785532	BALDA DENTAL LLC (Organization)	911 N HENRIETTA ST EFFINGHAM, IL 62401 (217) 342-3411		Non-Participating Provider	NO
1871152629	CASSANDRA ACKLEY (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-8386	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 Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1871304055	EFFINGHAM ENDODONTIST (Organization)	107 S 3RD ST LOWR LEVEL EFFINGHAM, IL 62401 (217) 663-6292		Non-Participating Provider	NO
1871918078	DENTAL HEALTH ASSOCIATES OF TEXAS, PC (Organization)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5100		Non-Participating Provider	NO
1891843595	CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC CENTRAL ILLINOIS ORAL SURGERY (Organization)	1200 NETWORK CENTRE DR SUITE B EFFINGHAM, IL 62401 (217) 540-5800	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1902477847	CRISTINA PARSONS (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1902479199	MANINDER MATHARU (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-2100	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 Cigna Healthcare Delta Dental Dominion National EMI Health Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1912099573	TED KOESTER (Individual)	111 SOUTH FIRST STREET EFFINGHAM, IL 62401 (217) 342-4494	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 Illinois Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Opted out of Medicare	NO
1932753654	MATTHEW LEE (Individual)	1200 NETWORK CENTRE DR EFFINGHAM, IL 62401 (217) 540-5111	Aetna CVS Health Ambetter from Absolute Total Care 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 NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of North Carolina Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1942730254	JOSEPH D BALDA (Individual)	911 N HENRIETTA ST EFFINGHAM, IL 62401 (217) 342-3411		Non-Participating Provider	NO
1962073809	ROBERT SERAITA (Individual)	1200 NETWORK CENTRE DR STE 2 EFFINGHAM, IL 62401 (217) 540-5100	Aetna CVS Health Ambetter Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1972635001	ADAM LINK (Individual)	700 N KELLER DR EFFINGHAM, IL 62401 (217) 347-0588	Ambetter from Home State Health 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 Companion Life Insurance Company Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO

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