Dentist Providers In Frankfort, Illinois

Search Dentist NPI records in Frankfort, IL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Frankfort, IL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 73, of which 30 are registered as organizations and 43 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.

59% Individuals

41% Organizations

16% Female

42% Male

59% Individual Providers (43)41% Medical Organizations (30)16% Female Providers (12)42% Male Providers (31)

Map of Providers

We have mapped the Dentist providers in Frankfort, 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 Frankfort, IL
NPI	Name	Address	Insurance	Medicare	PECOS
1003969809	MARTIN DANIEL BOUR (Individual)	600 BANKVIEW DR STE A FRANKFORT, IL 60423 (815) 469-3395	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1013080357	EDWARD J. KIRSCH, D.D.S., P.C. (Organization)	590 BANKVIEW DR SUITE A FRANKFORT, IL 60423 (815) 469-3373		Non-Participating Provider	NO
1013506922	PARTNERS IN ORAL SURGERY AND IMPLANTS PLLC (Organization)	10241 W LINCOLN HWY FRANKFORT, IL 60423 (815) 464-6500		Non-Participating Provider	NO
1023116175	MICHAEL G HOFFMAN (Individual)	600 BANKVIEW DR STE B FRANKFORT, IL 60423 (815) 469-3377		Non-Participating Provider	YES
1023457199	ADVANCED FAMILY DENTAL AND ORTHODONTICS, P.C. (Organization)	21188 S LAGRANGE RD FRANKFORT, IL 60423 (815) 741-1700	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1023561271	JONELLE MARIAH DOCTOR (Individual)	10065 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-0707	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 Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1043097017	K2 DENTAL CARE, PLLC (Organization)	590 BANKVIEW DR STE A FRANKFORT, IL 60423 (708) 301-9401		Non-Participating Provider	NO
1043457476	PETTY, BIELIK & BURKE ORTHODONTICS, P.C. (Organization)	10343 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-7150		Non-Participating Provider	NO
1053476994	SYED BILAL YUSAF (Individual)	346 N LAGRANGE RD FRANKFORT, IL 60423 (815) 464-1200	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073783767	WINTERSET OF FRANKFORT FRANKFORTWINTERSET ADVANCED DENTISTRY & IMPLANTS (Organization)	10053 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-0400		Non-Participating Provider	NO
1083467302	ANGELICA SANCHEZ DDS P.C. (Organization)	21136 WASHINGTON PKWY FRANKFORT, IL 60423 (815) 469-6767	UnitedHealthcare	Non-Participating Provider	NO
1093075590	ABDUL ALEEM FAIYAZ DAVE (Individual)	21188 S LAGRANGE RD FRANKFORT, IL 60423 (815) 464-0412	Aetna CVS Health 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 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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1093231466	VALERIE FLORENCE PAULO (Individual)	39 E COLORADO AVE FRANKFORT, IL 60423 (708) 789-9289	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 Renaissance Dental	Non-Participating Provider	NO
1093904583	RAYMOND JOSEPH WHITTINGHAM (Individual)	330 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-3900	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 Humana	Non-Participating Provider	YES
1134624307	DENTAL PROFESSIONALS OF ILLINOIS, P.C. COMPLETE DENTAL OF FRANKFORT (Organization)	590 BANKVIEW DR STE A FRANKFORT, IL 60423 (815) 469-3373	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1174530505	ALAN JEFFERY HEATH (Individual)	237 S LA GRANGE RD FRANKFORT, IL 60423 (815) 469-6500	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1184160194	MARISSA DZIEPAK (Individual)	39 E COLORADO AVE FRANKFORT, IL 60423 (708) 789-9289	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Humana Renaissance Dental	Non-Participating Provider	NO
1184757775	FADI AKHRAS (Individual)	20500 S LA GRANGE RD FRANKFORT, IL 60423 (815) 464-7587	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National First Commonwealth Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1184799611	DBM DENTAL LTD (Organization)	21136 WASHINGTON PKWY FRANKFORT, IL 60423 (815) 469-6767	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois	Non-Participating Provider	NO
1184839987	STEVEN LOTYSZ (Individual)	118 N WHITE ST FRANKFORT, IL 60423 (815) 469-5533		Non-Participating Provider	NO
1194566406	KAYATHRI PONNUSAMY (Individual)	11137 W LINCOLN HWY FRANKFORT, IL 60423 (815) 277-2840		Non-Participating Provider	NO
1194615385	KIANSH DENTAL LLC (Organization)	19558 S HARLEM AVE STE 1 FRANKFORT, IL 60423 (708) 226-6700		Non-Participating Provider	NO
1205915642	CHARLES FRANCIS MARTELLO (Individual)	106 W NEBRASKA ST FRANKFORT, IL 60423 (815) 469-9119		Non-Participating Provider	NO
1215345939	MARK KOLOZENSKI, DDS, MS, PC (Organization)	10083 W LINCOLN HWY FRANKFORT, IL 60423 (815) 201-1000	Aetna CVS Health	Non-Participating Provider	NO
1225114952	CHARLES PATRICK MARTELLO (Individual)	340 WEST LINCOLN HWY FRANKFORT, IL 60423 (815) 464-6500	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	Opted out of Medicare	YES
1225402795	DGBDDS LLC, DENISE MANIAKOURAS, DDS BITE SIZE PEDIATRIC DENTISTRY (Organization)	39 E COLORADO AVE FRANKFORT, IL 60423 (708) 789-9289	Aetna CVS Health	Non-Participating Provider	NO
1316100795	EDWARD J KIRSCH (Individual)	590 BANKVIEW DR STE A FRANKFORT, IL 60423 (815) 469-3373	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1316167174	A PLUS ORTHODONTICS PC (Organization)	20500 S LA GRANGE RD FRANKFORT, IL 60423 (815) 464-7537		Non-Participating Provider	NO
1326347089	DENISE DIMITRA BOZONELOS (Individual)	39 E COLORADO AVE FRANKFORT, IL 60423 (708) 789-9289	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1396995783	MIDLAND ORAL SURGERY AND IMPLANT CENTERS, LTD (Organization)	10097 W LINCOLN HWY FRANKFORT, IL 60423 (708) 429-4770		Non-Participating Provider	NO
1427136860	CRAIG A SPENCER (Individual)	10175 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-8837	Delta Dental of Illinois	Non-Participating Provider	NO
1457670242	MICHELLE M BARRERA (Individual)	10053 W LINCOLN HWY FRANKFORT, IL 60423 (815) 464-7070	Guardian Humana	Non-Participating Provider	NO
1518129873	MATTHEW ROBERT BURTON (Individual)	118 N WHITE ST FRANKFORT, IL 60423 (815) 469-5533		Non-Participating Provider	NO
1518191295	POWELL AND MARTELLO P.C. ORAL SURGERY CENTER (Organization)	10241 W LINCOLN HWY FRANKFORT, IL 60423 (815) 464-6500		Non-Participating Provider	NO
1548353923	ERIC EDWARD KLEIN (Individual)	20646 ABBEY WOODS COURT NORTH SUITE 101 FRANKFORT, IL 60423 (815) 806-1451	Aetna CVS Health 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 Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1568474534	STEVEN THOMAS KUHN (Individual)	10313 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-1600		Non-Participating Provider	NO
1598374167	DUBRAVEC PERIODONTAL SPECIALISTS PC (Organization)	20635 ABBEY WOODS CT N STE 203 FRANKFORT, IL 60423 (815) 464-3001		Non-Participating Provider	NO
1598834251	BROOKSIDE DENTAL CARE, LTD. (Organization)	10175 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-8837		Non-Participating Provider	NO
1609246701	REGINALD WOO (Individual)	9975 W LINCOLN HWY FRANKFORT, IL 60423 (415) 298-0819	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1609541655	AKINWALE AKINWANDE DDS MS PLLC (Organization)	21128 WASHINGTON PKWY FRANKFORT, IL 60423 (815) 464-6465		Non-Participating Provider	NO
1629215199	APEX DENTAL STUDIO (Organization)	346 N LAGRANGE RD FRANKFORT, IL 60423 (815) 464-1200		Non-Participating Provider	NO
1629359542	MICHAEL PERRY (Individual)	21136 WASHINGTON PKWY FRANKFORT, IL 60423 (815) 469-6767	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 Delta Dental of Illinois Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1639417520	THARP DENTAL, LTD. (Organization)	10171 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-1010		Non-Participating Provider	NO
1649398496	PETER KAHLHAMMER (Individual)	248 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-9336	Blue Cross and Blue 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
1659115434	SHEILA LAWLER (Individual)	301 N WHITE ST STE BB FRANKFORT, IL 60423 (815) 464-6900	Guardian Humana	Non-Participating Provider	NO
1659487080	JOHN JENNINGS REILLY (Individual)	640 BANKVIEW DR SUITE #3 FRANKFORT, IL 60423 (815) 464-0944		Non-Participating Provider	YES
1659619500	STEVEN C THARP DDS PC (Organization)	10171 W LINCOLN HWY FRANKFORT, IL 60423 (815) 712-6521		Non-Participating Provider	NO
1669595690	JOSEF CAMELLO DOCTOR (Individual)	10065 W LINCOLN HWY PRESIDENTS ROW OFFICE PARK JOSEF C DOCTOR DDS FRANKFORT, IL 60423 (815) 469-0707	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	Non-Participating Provider	NO
1689735458	A PLUS DENTAL P C (Organization)	20500 S LA GRANGE RD FRANKFORT, IL 60423 (815) 464-7587	Aetna CVS Health	Non-Participating Provider	NO
1720308497	CHRISTINE MARIE SNOW (Individual)	9501 W LINCOLN HWY FRANKFORT, IL 60423 (708) 799-5162		Non-Participating Provider	YES
1760160774	JULIANNE LENORAH DOCTOR (Individual)	10065 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-0707	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1770735383	JOHN C. BURKE (Individual)	10343 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-7150	Guardian	Non-Participating Provider	NO
1770850653	TREASURED SMILES GENERAL DENTISTRY, LLC TREASURED SMILES ADULT AND COSMETIC DENTISTRY (Organization)	10325 W. LINCOLN HIGHWAY FRANKFORT, IL 60423 (815) 426-0016		Non-Participating Provider	NO
1780763904	DESIGN DENTAL STUDIO (Organization)	11137 W LINCOLN HWY FRANKFORT, IL 60423 (815) 469-7000		Non-Participating Provider	NO
1790052678	TREASURED SMILES PEDIATRIC DENTISTRY (Organization)	10313 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-1600		Non-Participating Provider	NO
1790936698	MANJEEV MALHOTRA (Individual)	19558 S. HARLEM AVE. SUITE 1 FRANKFORT, IL 60423 (815) 469-1900	Aetna CVS Health Ambetter from Home State Health 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 Illinois First Commonwealth Insurance Company Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1811190499	MARISSA ANNE ZOLADZ (Individual)	301 N WHITE ST STE BB FRANKFORT, IL 60423 (815) 464-6900	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 Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1811490055	ALL PERFECT SMILES OF FRANKFORT PC (Organization)	11137 W LINCOLN HWY FRANKFORT, IL 60423 (815) 277-2840		Non-Participating Provider	NO
1821101858	DENNIS RAYMOND LAMONTE (Individual)	10313 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-1600		Non-Participating Provider	NO
1831505965	RYAN NOLAN (Individual)	20646 ABBEY WOODS CT N STE 101 FRANKFORT, IL 60423 (815) 806-1451	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1831897479	VERTEX ENDODONTICS PLLC (Organization)	10071 W LINCOLN HWY FRANKFORT, IL 60423 (708) 261-5208		Non-Participating Provider	NO
1851309850	LORI MICHELLE WOODBURN (Individual)	9875 W LINCOLN HWY SUITE 103 FRANKFORT, IL 60423 (815) 469-9336	Blue Cross and Blue 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	NO
1851788913	JAIME ANN PETTENON (Individual)	39 E COLORADO AVE FRANKFORT, IL 60423 (708) 789-9289	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1881755643	VINCENZO NICASTRO (Individual)	20500 S LA GRANGE RD FRANKFORT, IL 60423 (815) 464-7587	Aetna CVS Health Guardian	Non-Participating Provider	NO
1902117708	STEVEN CASIMIR THARP (Individual)	10171 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-1010	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	YES
1912194572	JEFFREY T. WALKER (Individual)	540 BUTTERNUT TRL FRANKFORT, IL 60423 (630) 865-9002	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1932475100	ALLEN FRED GOLDBERG (Individual)	22406 MALLOW DR FRANKFORT, IL 60423 (815) 534-5533		Non-Participating Provider	NO
1942379847	CHARLES F. MARTELLO D.D.S. P.C. (Organization)	106 W NEBRASKA ST FRANKFORT, IL 60423 (815) 469-9119		Non-Participating Provider	NO
1952502221	DENTAL BOUTIQUE (Organization)	20646 ABBEY WOODS COURT NORTH SUITE 101 FRANKFORT, IL 60423 (815) 806-1451	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois UnitedHealthcare	Non-Participating Provider	NO
1962572685	JAMES R THARP (Individual)	10171 W LINCOLN HWY FRANKFORT, IL 60423 (815) 806-1010		Non-Participating Provider	NO
1982777652	CHIRAG DESAI (Individual)	340 WEST LINCOLN HWY FRANKFORT, IL 60423 (815) 464-6500	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Guardian Humana Renaissance Dental	Opted out of Medicare	YES
1992126304	DOMINIK DUBRAVEC DDS MMSC PC (Organization)	20635 ABBEY WOODS CT N SUITE 203 FRANKFORT, IL 60423 (815) 464-3001		Non-Participating Provider	NO
1992711873	ROBERT JAMES DAVIS (Individual)	118 N WHITE ST FRANKFORT, IL 60423 (815) 469-5533	Blue Cross and Blue 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

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