Dentist Providers In Gilbert, Arizona

Search Dentist NPI records in Gilbert, AZ

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Gilbert, AZ. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 361, of which 142 are registered as organizations and 219 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.

61% Individuals

39% Organizations

15% Female

46% Male

61% Individual Providers (219)39% Medical Organizations (142)15% Female Providers (53)46% Male Providers (166)

Map of Providers

We have mapped the Dentist providers in Gilbert, AZ 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 Gilbert, AZ
NPI	Name	Address	Insurance	Medicare	PECOS
1003205444	SMILE TODAY GILBERT (Organization)	2487 S GILBERT RD #105 GILBERT, AZ 85295 (480) 994-9494		Non-Participating Provider	NO
1003681628	ABBI WEISS (Individual)	2483 S MARKET ST STE 101 GILBERT, AZ 85295 (480) 857-1044		Non-Participating Provider	NO
1003933581	JAMES BOURNE (Individual)	2487 S GILBERT RD 105 GILBERT, AZ 85295 (480) 732-1888	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 Alaska Florida Combined Life Humana Moda Health Plan Inc. Premera Blue Cross Blue Shield of Alaska UnitedHealthcare	Non-Participating Provider	NO
1003998238	POSPISIL DENTISTRY OF GILBERT (Organization)	2730 S VAL VISTA DR STE. 106 GILBERT, AZ 85296 (480) 838-3305	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1013118124	MICHIO KUBOTA D.D.S. INC. HARMONY DENTAL OF AZ (Organization)	694 S COOPER RD SUITE #A-2 GILBERT, AZ 85233 (480) 632-2255	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1013192913	SPENCER G WILSON DDS PC (Organization)	1355 S HIGLEY RD STE 106 GILBERT, AZ 85296 (480) 279-5949		Non-Participating Provider	NO
1013377829	JONATHON EDWARDS (Individual)	1327 S NIELSON ST GILBERT, AZ 85296 (480) 868-1864	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1023015914	VALLECILLO & MENNA DENTISTRY, P.C. MONA LISA DENTAL (Organization)	936 E WILLIAMS FIELD RD SUITE 101 GILBERT, AZ 85296 (480) 722-7600	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1023117199	NATHAN EDWARD HANSEN (Individual)	8490 S POWER RD STE 106 GILBERT, AZ 85297 (480) 988-7200	Blue Cross and Blue 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
1023276995	NATHAN E HANSEN DDS LLC SOMERSET DENTAL (Organization)	8490 SOUTH POWER RD SUITE 106 GILBERT, AZ 85297 (480) 988-7200		Non-Participating Provider	NO
1023605680	SMILE CRAFTERS, PLLC (Organization)	3160 E QUEEN CREEK RD STE 102 GILBERT, AZ 85297 (480) 620-7101		Non-Participating Provider	NO
1033207022	MICHAEL WADE HUDSON (Individual)	3011 S LINDSAY RD SUITE 119 GILBERT, AZ 85296 (480) 855-5582	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1033431085	E BURKE JARDINE, DMD, PC COPPER CANYON DENTAL (Organization)	2680 S VAL VISTA DR STE 125 GILBERT, AZ 85295 (480) 553-9909		Non-Participating Provider	NO
1033973524	COMMUNITY OF SMILES OUTREACH (Organization)	2174 E WILLIAMS FIELD RD STE 200 GILBERT, AZ 85295 (480) 476-8785		Non-Participating Provider	NO
1043352412	LONNY D CARMICHAEL (Individual)	3592 S ATHERTON BLVD SUITE 107 GILBERT, AZ 85297 (480) 889-1877	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1043744857	REZ PEDIATRIC DENTISTRY PLLC (Organization)	1425 W ELLIOT RD # A101 GILBERT, AZ 85233 (410) 562-8611		Non-Participating Provider	NO
1053488650	JARED WESTON WELCH (Individual)	3011 S LINDSAY RD STE 108 GILBERT, AZ 85296 (480) 917-9339	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1063618916	QUEEN CREEK PEDIATRIC DENTISTRY LLC A TO Z PEDIATRIC DENTISTRY (Organization)	7400 S POWER RD BLDG 6, STE 132 GILBERT, AZ 85297 (480) 503-3764	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1063804813	CYLINDROPUNTIA LLC (Organization)	3011 S LINDSAY RD SUITE 118 GILBERT, AZ 85295 (480) 857-9009		Non-Participating Provider	NO
1063992428	THOMAS SAUNDERS (Individual)	2174 E WILLIAMS FIELD RD BUILDING 2174, SUITE 200 GILBERT, AZ 85295 (480) 892-5089	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073862900	MARGO LEILANI RAINEY (Individual)	1734 E. COCO PALM CT. GILBERT, AZ 85234 (480) 567-8470	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 Humana Paramount Paramount Dental	Non-Participating Provider	NO
1073875712	ARIZONA DENTAL ANESTHESIOLOGY PLLC (Organization)	817 E SAN ANGELO AVE GILBERT, AZ 85234 (480) 678-9724		Non-Participating Provider	NO
1073895629	KIDIATRIC DENTISTRY, PLLC KIDIATRIC DENTISTRY, PLLC (Organization)	913 E WARNER RD GILBERT, AZ 85296 (602) 418-1599	Ambetter from Arizona Complete Health DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1083364293	CHRISTOPHER WENNERHOLM (Individual)	2308 E BONITA ST GILBERT, AZ 85296 (480) 204-9392		Non-Participating Provider	NO
1083369334	GILBERT SONOMA ORAL SURGERY, P.C. (Organization)	7400 S POWER RD STE 136 GILBERT, AZ 85297 (480) 279-3113	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1083975759	ETHAN JAMES LARSON (Individual)	4365 E PECOS RD STE 136 GILBERT, AZ 85295 (480) 712-9595	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 Arizona EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1093116824	SHADOW ASGARI (Individual)	3336 E CHANDLER HEIGHTS RD BLDG 2 SUITE 111 GILBERT, AZ 85298 (480) 988-0028	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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093892523	DAVID JUNIUS GIBBONS (Individual)	3333 E BASELINE RD GILBERT, AZ 85234 (480) 892-9190	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093907891	DENTISTRY AT POWER RANCH INC HALLS FAMILY DENTISTRY (Organization)	7400 S POWER RD STE 118 GILBERT, AZ 85297 (480) 279-5533	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1093935553	SOFTOUCH DENTAL CARE, LLC (Organization)	1496 N HIGLEY RD SUITE 104 GILBERT, AZ 85234 (480) 830-5003		Non-Participating Provider	NO
1104109115	LIFETIME FAMILY DENTAL LIFETIME FAMILY DENTAL (Organization)	235 E WARNER RD SUITE #108 GILBERT, AZ 85296 (480) 558-4331		Non-Participating Provider	NO
1104281013	SMILES BY HANNA PLLC (Organization)	1355 S HIGLEY RD #119 GILBERT, AZ 85296 (480) 279-3700		Non-Participating Provider	NO
1104553478	GLISTEN DENTAL LLC (Organization)	4365 E PECOS RD STE 127 GILBERT, AZ 85295 (480) 331-4955	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1104637438	ARIZONA DENTAL PROFESSIONALS, P.C. (Organization)	5656 S POWER RD STE 142 GILBERT, AZ 85295 (480) 780-9080		Non-Participating Provider	NO
1104931633	BRENT TAYLOR PACKER (Individual)	1400 N GILBERT RD SUITE A GILBERT, AZ 85234 (480) 892-5089		Non-Participating Provider	NO
1104965953	CLARA ANGELA PINEDA (Individual)	707 W RAY ROAD STE A 5 GILBERT, AZ 85233 (480) 821-4868	Ambetter from Arizona Complete 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 Guardian	Non-Participating Provider	NO
1114071388	APEX ENDODONTICS (Organization)	3303 S LINDSAY RD STE. 127 GILBERT, AZ 85296 (480) 699-2940	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1114361193	JACOB ZUNIGA,DDS,LLC (Organization)	33 N LINDSAY RD SUITE101 GILBERT, AZ 85234 (480) 539-7323	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1114601655	IRONWOOD DENTAL CARE- COOLEY LLC IRONWOOD DENTAL CARE- COOLEY (Organization)	3875 E WILLIAMS FIELD RD STE 102 GILBERT, AZ 85295 (480) 685-9936	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1124241641	GREGORY R MANNING (Individual)	4365 E PECOS RD 132 GILBERT, AZ 85295 (480) 988-2373	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1124401633	SEAN STEVENSON (Individual)	3877 S GILBERT RD GILBERT, AZ 85297 (480) 498-4294	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1124625793	GILBERT CROSSROADS KIDS' DENTISTS AND ORTHODONTICS, LLP DENTISTS OF GILBERT CROSSROADS (Organization)	835 S. GILBERT RD, SUITE 104 GILBERT, AZ 85296 (480) 297-0979	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1124644612	REVAN DAWOOD (Individual)	4365 E PECOS RD STE 127 GILBERT, AZ 85295 (480) 331-4955	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124868385	KENNY HUNG TRAN (Individual)	4365 E PECOS RD STE 127 GILBERT, AZ 85295 (480) 331-4955	Delta Dental of Arizona	Non-Participating Provider	NO
1124913413	RYAN SHIPP (Individual)	33 N LINDSAY RD STE 101 GILBERT, AZ 85234 (480) 685-9270		Non-Participating Provider	NO
1124918313	ZANE DRUCE BOLLWINKEL (Individual)	2540 S SAN TAN VILLAGE PKWY STE 104 GILBERT, AZ 85295 (480) 963-5089		Non-Participating Provider	NO
1134268873	CARLOS VALLECILLO (Individual)	936 E WILLIAMS FIELD RD SUITE 101 GILBERT, AZ 85296 (480) 722-7600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1134311673	JUMANA GHORAB, DDS, PC (Organization)	2550 E GUADALUPE RD STE 105 GILBERT, AZ 85234 (480) 545-0724		Non-Participating Provider	NO
1144116922	GYLLIAN YAHN (Individual)	4049 E WILLIAMS FIELD RD STE 109 GILBERT, AZ 85295 (480) 840-3600		Non-Participating Provider	NO
1144280975	MORRIS MCKINLEY OSWALD (Individual)	1534 E RAY RD GILBERT, AZ 85296 (480) 279-6010	Blue Cross and Blue 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 Arizona Guardian Humana	Non-Participating Provider	YES
1144357971	SHELDON LYNN SULLIVAN (Individual)	3303 E BASELINE RD #105 GILBERT, AZ 85234 (480) 507-1993	Delta Dental of Arizona	Non-Participating Provider	NO
1144551110	GREGORY P SMITH (Individual)	4915 E BASELINE RD STE 105 GILBERT, AZ 85234 (310) 309-0947	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1144915919	ERIKA PURCELL, DMD, PLLC (Organization)	1528 E DUBLIN ST GILBERT, AZ 85295 (806) 729-1844		Non-Participating Provider	NO
1154407716	JOY LOUISE BRAUER (Individual)	3336 E CHANDLER HEIGHTS RD SUITE 119 GILBERT, AZ 85297 (480) 279-4790	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana	Non-Participating Provider	NO
1154422756	PAUL LINGENBRINK (Individual)	3078 E WATERMAN WAY GILBERT, AZ 85297 (360) 509-0146	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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1154540276	JULEE K WEIDNER (Individual)	2323 E GUADALUPE RD STE 101 GILBERT, AZ 85234 (480) 621-5535	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 Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1164008686	BRIAN LELAND (Individual)	1030 N COLORADO ST STE 102 GILBERT, AZ 85233 (480) 664-2270	Ambetter from Arizona Complete Health 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 Delta Dental of Arizona Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1164156170	JUSTIN LUND FROST (Individual)	1400 N GILBERT RD STE A GILBERT, AZ 85234 (480) 571-4004	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. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1164544748	APEX DENTAL CARE, P.C. (Organization)	949 N VAL VISTA DR STE 101 GILBERT, AZ 85234 (480) 813-8280	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1164598926	PAUL JOSEPH DIMAGGIO (Individual)	1757 E BASELINE RD SUITE 109 GILBERT, AZ 85233 (480) 892-8199	Blue Cross and Blue 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
1164654216	DAWN P PRUZANSKY (Individual)	2550 E GUADALUPE RD STE 101 GILBERT, AZ 85234 (480) 558-0777	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1174165856	GILBERT DENTAL SMILES LLC RIGGS FAMILY DENTAL (Organization)	2487 S GILBERT RD STE 105 GILBERT, AZ 85295 (480) 732-1888	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1174414841	SATELITE CO LLC (Organization)	4935 S VAL VISTA DR STE 104 GILBERT, AZ 85298 (480) 482-7773		Non-Participating Provider	NO
1174666275	MY ORTHODONTIST, PC (Organization)	2765 S MARKET ST SUITE 103 GILBERT, AZ 85296 (480) 857-9500		Non-Participating Provider	NO
1174713242	ARTHUR S. NOVELLY (Individual)	1520 W WARNER RD #104 GILBERT, AZ 85233 (480) 892-6868		Non-Participating Provider	NO
1174760037	SOMERSET DENTAL (Organization)	8490 S POWER RD STE 106 GILBERT, AZ 85297 (480) 988-7200		Non-Participating Provider	NO
1184040396	RACHEL DIGIOVANNI (Individual)	4105 E OAKLAND ST GILBERT, AZ 85295 (727) 492-4209	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1184167447	JOHN E. CULP, III DMD, PC JUNGLE ROOTS CHILDREN'S DENTISTRY (Organization)	2080 E WILLIAMS FIELD RD SUITE #104 GILBERT, AZ 85295 (480) 759-1119	BannerAetna	Non-Participating Provider	NO
1184601411	DENTISTS R US (Organization)	4341 E BASELINE RD #C-107 GILBERT, AZ 85234 (480) 558-7500	Ambetter from Arizona Complete Health Ambetter from Meridian Ambetter Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1194031302	KEVIN G RAMSEY (Individual)	3336 E CHANDLER HEIGHTS RD SUITE 115 GILBERT, AZ 85298 (480) 207-6001	Ambetter from Arizona Complete Health 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 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 Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1194363069	PRECISION DENTAL CENTER PLLC (Organization)	3885 S VAL VISTA DR STE 106 GILBERT, AZ 85297 (480) 899-8999		Non-Participating Provider	NO
1194486084	AFFORDABLE DENTURES & IMPLANTS - GILBERT, P.C. ADVANCED DENTAL IMPLANT CENTER OF PHOENIX (Organization)	3530 S VAL VISTA DR STE 201 GILBERT, AZ 85297 (602) 698-8227		Non-Participating Provider	NO
1194801696	HOWARD GREGORY BRAUER (Individual)	3336 E CHANDLER HEIGHTS RD SUITE 119 GILBERT, AZ 85297 (480) 279-4790	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana	Non-Participating Provider	NO
1194817262	JOHN S COLEMAN (Individual)	3011 S LINDSAY RD #104 GILBERT, AZ 85296 (480) 855-5544	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1205011095	BRENT TYLER ROBISON (Individual)	1355 S HIGLEY RD STE 105 GILBERT, AZ 85296 (480) 888-7711		Non-Participating Provider	NO
1205063567	BRETT WAYNE BARLOW (Individual)	3329 E BASELINE RD GILBERT, AZ 85234 (502) 291-0203	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1205665346	JADE FAITH GOTTSCHALK (Individual)	835 S GILBERT RD STE 105 GILBERT, AZ 85296 (480) 297-0979	Delta Dental of Arizona Florida Combined Life Guardian Humana	Non-Participating Provider	NO
1205809019	CHRISTINE RAE FORD (Individual)	3891 E PALO VERDE ST GILBERT, AZ 85296 (206) 819-0447	Blue Cross and Blue 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
1205896099	WEN HSIU WANG (Individual)	949 N VAL VISTA DR GILBERT, AZ 85234 (480) 813-8280	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1215014741	JUNIUS NEPHI GIBBONS (Individual)	3333 E BASELINE RD GILBERT, AZ 85234 (480) 892-9190	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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1215046859	PAUL CHRISTIAN ALEXANDER (Individual)	3341 E QUEEN CREEK RD STE 101 GILBERT, AZ 85297 (480) 457-8877	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1215103049	NATASHA YVETTE MAY (Individual)	4365 E PECOS RD STE 106 GILBERT, AZ 85295 (480) 801-7878	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1215106497	MATTHEW D JONES (Individual)	1534 E RAY RD SUITE #119 GILBERT, AZ 85296 (480) 812-1500	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1215117411	VISTA DORADA DENTAL (Organization)	4902 S. VAL VISTA DRIVE SUITE #107 GILBERT, AZ 85296 (480) 963-9900	BannerAetna	Non-Participating Provider	NO
1215159645	COOPER DENTISTRY LLC COOPER FAMILY DENTISTRY (Organization)	78 N COOPER RD SUITE 107 GILBERT, AZ 85233 (480) 964-1000	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1215327507	KERR ENDODONTICS, P.C. SAN TAN ENDODONTICS, P.C. (Organization)	1355 S HIGLEY RD SUITE 116 GILBERT, AZ 85296 (480) 545-4120		Non-Participating Provider	NO
1215360979	TAMER EL-GENDY (Individual)	3435 E COMSTOCK DR GILBERT, AZ 85296 (614) 209-2111	Guardian	Non-Participating Provider	NO
1225074040	RASSA ABDOLLAHZADEH (Individual)	2571 S VAL VISTA DR STE 101 GILBERT, AZ 85295 (480) 597-5536	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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225234149	SAN TAN DENTAL GROUP, LLP SAN TAN DENTAL GROUP (Organization)	2483 S. MARKET STREET SUITE 101 GILBERT, AZ 85296 (480) 857-1044	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1225250533	GEOF GLOVSKY (Individual)	754 S VAL VISTA DR STE 107 GILBERT, AZ 85296 (480) 892-6200	Guardian	Non-Participating Provider	NO
1225573678	SHANA VOHRA (Individual)	1467 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 926-4498	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1225607260	FARNAZ DARIUSH (Individual)	6466 S HIGLEY RD STE 101 GILBERT, AZ 85298 (480) 457-8283	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1225715386	PEDS SMILES GROUP LLC (Organization)	3875 E WILLIAMS FIELD RD #203 GILBERT, AZ 85295 (520) 250-3931	Ambetter from Arizona Complete Health DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1235119785	EDWARD V KUCH (Individual)	3028 E JUANITA CT GILBERT, AZ 85234 (612) 619-7088	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Blue Cross Blue Shield of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235620931	MICHAEL D MCDOUGAL (Individual)	835 S GILBERT RD GILBERT, AZ 85296 (480) 297-0979	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245308394	SCOTT DAY (Individual)	3303 S LINDSAY RD GILBERT, AZ 85296 (480) 812-9100	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255111274	PRD PARTNERS PLLC (Organization)	7400 S POWER RD STE 128 GILBERT, AZ 85297 (480) 988-2282	UnitedHealthcare	Non-Participating Provider	NO
1255175519	COPPER BASIN ORAL SURGERY (Organization)	2680 S VAL VISTA DR STE 164 GILBERT, AZ 85295 (480) 855-3223		Non-Participating Provider	NO
1255194171	LINDSAY CROSSING DENTAL AND AESTHETICS (Organization)	5505 S. LINDSAY RD. STE. 106 GILBERT, AZ 85298 (480) 670-7106	BannerAetna	Non-Participating Provider	NO
1265658850	BLAKE B ROBISON (Individual)	1355 S. HIGLEY RD #105 GILBERT, AZ 85296 (480) 888-7711	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1275361735	GURPREET KAUR (Individual)	1351 S SAGUARO ST GILBERT, AZ 85233 (480) 765-0621	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1275391872	STELLAR ORTHODONTICS PLLC (Organization)	3875 E WILLIAMS FIELD RD SUITE 302 GILBERT, AZ 85295 (480) 389-2020		Non-Participating Provider	NO
1275635724	GREGG W. JEPSON (Individual)	1467 W ELLIOT RD SUITE 104 GILBERT, AZ 85233 (480) 899-8500	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona	Non-Participating Provider	NO
1275717779	HEATH C. SNELL (Individual)	3711 E IRONHORSE RD GILBERT, AZ 85297 (480) 652-5910	Blue Cross and Blue 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 Guardian	Non-Participating Provider	YES
1275759722	KATHY JACOBSEN (Individual)	1170 N GILBERT RD SUITE 125 GILBERT, AZ 85234 (480) 507-1807		Non-Participating Provider	NO
1285078808	TRENT LOGAN COX (Individual)	3336 E CHANDLER HEIGHTS RD STE 111 GILBERT, AZ 85298 (480) 988-0028	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1285156000	AMBER MARTEL POWELL (Individual)	5656 S POWER RD STE 129 GILBERT, AZ 85295 (480) 279-4888	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285172551	PREMIER FAMILY DENTAL HOLDINGS LLC PREMIER FAMILY DENTAL (Organization)	3050 E CHANDLER HEIGHTS RD STE 105 GILBERT, AZ 85290 (480) 279-5611	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1285258830	NUO DONG (Individual)	3875 E WILLIAMS FIELD RD STE 302 GILBERT, AZ 85295 (480) 389-2020	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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285753574	TIMOTHY J BASHARA (Individual)	5656 S. POWER RD. STE. 118 GILBERT, AZ 85295 (480) 988-1879	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295562650	VU & ASGARI ORTHODONTICS PLLC (Organization)	3336 E CHANDLER HEIGHTS RD BUILDING 2, STE 111 GILBERT, AZ 85298 (480) 988-0028		Non-Participating Provider	NO
1295819514	LYDE J ADAMS (Individual)	1489 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 507-9400	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Wellmark of South Dakota Inc.	Non-Participating Provider	YES
1295896074	KAYA SARZYNSKA (Individual)	1350 E LOBSTER BAY CIR GILBERT, AZ 85234 (516) 359-8917	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1306027396	RICHARD MICHAUD (Individual)	2363 E BASELINE RD GILBERT, AZ 85234 (480) 558-1400	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Renaissance Dental	Non-Participating Provider	NO
1306277876	ROBERT J. BROWN DDS PC (Organization)	26 N GILBERT RD GILBERT, AZ 85234 (480) 963-3992	UnitedHealthcare	Non-Participating Provider	NO
1306404876	LAURA YALIM (Individual)	81 W GUADALUPE RD STE 101 GILBERT, AZ 85233 (480) 400-8871	Blue Cross and Blue 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 Renaissance Dental	Non-Participating Provider	NO
1306951819	SAMUEL WALKER BOLLWINKEL (Individual)	1400 N GILBERT RD SUITE A GILBERT, AZ 85234 (480) 892-5089	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 of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1316105331	BRUCE L. HERR (Individual)	8490 S POWER RD STE 106 GILBERT, AZ 85297 (480) 580-1499	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1316324031	PAUL KELLY MAXILLOFACIAL PC (Organization)	726 N GREENFIELD RD SUITE #117 GILBERT, AZ 85234 (480) 258-0879		Non-Participating Provider	NO
1326050386	JOHN ALEXANDER HATCH (Individual)	2373 E BASELINE RD #101 GILBERT, AZ 85234 (480) 545-5330	Blue Cross and Blue 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
1326107004	KEITH D KENNEDY (Individual)	7400 S POWER RD STE 128 GILBERT, AZ 85297 (480) 225-9769	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326128356	GROWING GRINS PLLC GROWING GRINS PEDIATRIC DENTISTRY (Organization)	3336 E CHANDLER HEIGHTS RD SUITE 130 GILBERT, AZ 85297 (480) 813-3636	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1326386186	UNSEI MANAGEMENT LLC ABSOLUTE DENTAL (Organization)	2450 E GUADALUPE RD STE 108 GILBERT, AZ 85234 (480) 632-9600		Non-Participating Provider	NO
1326423674	OASIS FAMILY DENTISTRY, PLLC (Organization)	1467 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 926-4498		Non-Participating Provider	NO
1326674839	SAMANTHA JO YINEMAN (Individual)	8490 S POWER RD GILBERT, AZ 85297 (480) 359-1522	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 Blue Cross Blue Shield of Arizona Humana Paramount Paramount Dental	Non-Participating Provider	NO
1326779687	JENNIFER CATTRON (Individual)	4024 E GUADALUPE RD STE 105 GILBERT, AZ 85234 (480) 269-3389	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336146745	PEDIATRIC DENTAL SPECIALISTS, PPC (Organization)	2550 E GUADALUPE RD SUITE 101 GILBERT, AZ 85234 (480) 558-0777		Non-Participating Provider	NO
1346239555	ELIZABETH M TANDY (Individual)	633 E RAY RD SUITE 104 GILBERT, AZ 85296 (480) 782-1131	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1346389244	ROSSANA MENNA (Individual)	936 E WILLIAMS FIELD RD SUITE 101 GILBERT, AZ 85296 (480) 722-7600	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1346448412	RICHARD I ASHTON (Individual)	857 E WARNER RD STE 103 GILBERT, AZ 85296 (480) 821-4868	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1346451218	ERIC J GENENBACHER (Individual)	1496 N HIGLEY RD SUITE 104 GILBERT, AZ 85234 (480) 830-5003	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1346717246	ROBISON ORTHODONTICS LLC ROBISON OTHODONTICS PC (Organization)	1355 S HIGLEY RD # 105 GILBERT, AZ 85296 (480) 888-7711	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1346816535	NORTHEAST GILBERT DENTISTRY LLP (Organization)	5215 E BASELINE RD STE 101 GILBERT, AZ 85234 (480) 779-6393	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1356464903	SCOTT CRAIG LARSEN (Individual)	201 W GUADALUPE RD STE 102 GILBERT, AZ 85233 (480) 813-8890	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356570824	MATTHEW CLIFTON HANCHETT (Individual)	2680 S VAL VISTA DR STE 164 GILBERT, AZ 85295 (205) 837-4674	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Imperial Insurance Companies Inc. Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Maybe Accepts Medicare	YES
1356712087	PHILLIP GARRETT (Individual)	2080 E WILLIAMS FIELD RD STE 104 GILBERT, AZ 85295 (361) 343-6272	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1356979322	ERIC LEE GRANT (Individual)	2915 E BASELINE RD STE 106 GILBERT, AZ 85234 (480) 539-6420	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1366560914	DENTAL ELEGANCE, INC. (Organization)	1425 W ELLIOT RD STE 105 GILBERT, AZ 85233 (480) 558-7600		Non-Participating Provider	NO
1366621070	GILBERT VISTA DENTAL CARE (Organization)	2451 E BASELINE RD STE 210 GILBERT, AZ 85234 (480) 503-5467	BannerAetna	Non-Participating Provider	NO
1366671059	GATEWAY DENTISTRY, PLLC (Organization)	4915 E. BASELINE ROAD SUITE 107 GILBERT, AZ 85234 (480) 218-6000	BannerAetna	Non-Participating Provider	NO
1366699373	MITCHELL LEPETICH (Individual)	2680 S VAL VISTA DR SUITE 125 GILBERT, AZ 85295 (480) 553-9909	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1366797342	ERIC WENDELSCHAFER (Individual)	2483 SOUTH MARKET STREET #101 CO ERIC WENDELSCHAFER GILBERT, AZ 85296 (480) 278-6255	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386076081	JEFFREY SCOTT EVERS (Individual)	3647 E MORENO ST GILBERT, AZ 85297 (602) 663-6292	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1386084689	QUANG LE (Individual)	690 E WARNER RD STE 126 GILBERT, AZ 85296 (480) 882-9588	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386207785	CATTRON'S DMD, PLLC (Organization)	4024 E GUADALUPE RD STE 105 GILBERT, AZ 85234 (602) 761-8754	UnitedHealthcare	Non-Participating Provider	NO
1386609691	JOHN A GARZA (Individual)	754 S VAL VISTA DR #106 GILBERT, AZ 85296 (480) 539-7979	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386676922	SPENCER GRANT WILSON (Individual)	1355 S HIGLEY RD 106 GILBERT, AZ 85296 (480) 279-5949	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Opted out of Medicare	YES
1386848091	RITA ANN PECK (Individual)	2451 E BASELINE RD SUITE 210 GILBERT, AZ 85234 (480) 335-5554	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386851889	VAL VISTA DENTAL GROUP, LLC (Organization)	1395 E WARNER RD STE 105C GILBERT, AZ 85296 (480) 558-0212	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1396362745	TRACY GERONA (Individual)	2885 E WEATHER VANE RD GILBERT, AZ 85296 (408) 406-4729	Delta Dental of Arizona Humana	Non-Participating Provider	NO
1396827606	DOUGLAS SCOTT POSPISIL (Individual)	2730 S VAL VISTA DR STE. 106 GILBERT, AZ 85296 (480) 838-3305	Ambetter from Arizona Complete Health BannerAetna 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 of Arizona Florida Combined Life Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396883765	ANDREW PETERSEN (Individual)	7400 S POWER RD STE 136 GILBERT, AZ 85297 (480) 279-3113	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396925244	BRIAN ROBERT BANFIELD (Individual)	3303 S LINDSAY RD STE 127 GILBERT, AZ 85297 (480) 699-2940	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1407279003	COOPER FAMILY DENTISTRY (Organization)	78 N COOPER RD SUITE 107 GILBERT, AZ 85233 (480) 964-1000		Non-Participating Provider	NO
1407749864	JACK A POHLER (Individual)	1030 N COLORADO ST STE 104 GILBERT, AZ 85233 (888) 309-2423		Non-Participating Provider	NO
1407936438	LIOR BERGER (Individual)	2730 S VAL VISTA DR BUILDING #11, SUITE #164 GILBERT, AZ 85295 (480) 633-9977	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417350331	LIGHTHALL FAMILY DENTISTRY OF GILBERT PLC (Organization)	3509 S MERCY RD SUITE 107 GILBERT, AZ 85297 (480) 807-6453		Non-Participating Provider	NO
1427555267	MATTHEW PARISEK (Individual)	1355 S HIGLEY RD STE 117 GILBERT, AZ 85296 (480) 370-6710	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 Alaska Florida Combined Life Humana Moda Health Plan Inc. Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1437170842	REY A BERGELIN (Individual)	1467 W ELLIOT RD STE #101 GILBERT, AZ 85233 (480) 926-4498	Blue Cross and Blue 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	Opted out of Medicare	YES
1437500915	ARIZONA PEDIATRIC DENTAL CARE (Organization)	3011 S LINDSAY RD 108 GILBERT, AZ 85295 (480) 917-9339		Non-Participating Provider	NO
1437611803	MDBB MANAGEMENT LLC (Organization)	2680 S VAL VISTA DR STE 101 GILBERT, AZ 85295 (727) 522-5599		Non-Participating Provider	NO
1437673993	ETHAN SAVORY (Individual)	33 N LINDSAY RD STE 101 GILBERT, AZ 85234 (480) 539-7323	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437710233	DANIELLE MATTER (Individual)	2540 S SAN TAN VILLAGE PKWY STE 104 GILBERT, AZ 85295 (480) 892-5089	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437887841	SERENITY DENTAL OFFICES LLC (Organization)	3341 E QUEEN CREEK RD STE 101 GILBERT, AZ 85297 (480) 457-8877	BannerAetna	Non-Participating Provider	NO
1437949112	SAHIL ARORA DDS, PLLC (Organization)	1467 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 926-4498		Non-Participating Provider	NO
1447011275	A PLUS FAMILY DENTAL SOLUTIONS, PLLC (Organization)	857 E WARNER RD STE 103 GILBERT, AZ 85296 (480) 821-4868	BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1447202148	PAUL JOHN KELLY (Individual)	726 N GREENFIELD RD SUITE 117 GILBERT, AZ 85234 (480) 685-9696	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Humana	Opted out of Medicare	YES
1447598495	HIGLEY VILLAGE KIDTASTIC, LLC (Organization)	3303 E QUEEN CREEK RD SUITE # 106 GILBERT, AZ 85297 (480) 648-4037	DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1447821533	IDRYS DURRANI (Individual)	524 S CATALINA ST GILBERT, AZ 85233 (480) 259-9092	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1447852355	IBRAHEEM ARIF (Individual)	753 N MCQUEEN RD STE 102/103 GILBERT, AZ 85233 (480) 645-9519	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 Blue Cross Blue Shield of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1447904834	BIANCA ABOUBAKARE (Individual)	2549 E MUIRFIELD ST GILBERT, AZ 85298 (714) 264-4156	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1467020818	ARIZONA DENTAL PROFESSIONALS, P.C. (Organization)	235 E WARNER RD STE 108 GILBERT, AZ 85296 (480) 558-4331	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1487140406	SELAY KARBASI (Individual)	2680 S VAL VISTA DR STE 161 GILBERT, AZ 85295 (480) 782-8825	Ambetter from Arizona Complete Health 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 Delta Dental of Arizona Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1487158473	JARED BENJAMIN TINKER (Individual)	3592 S ATHERTON BLVD STE 107 GILBERT, AZ 85297 (401) 456-4038	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1487326534	KEVIN NGO (Individual)	652 E WARNER RD GILBERT, AZ 85296 (480) 581-8020	Ambetter from Arizona Complete Health 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 Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1487343851	AWESOME SMILES DENTAL LLC (Organization)	2139 E TIFFANY CT GILBERT, AZ 85298 (480) 376-9319		Non-Participating Provider	NO
1497396170	GILBERT KIDTASTIC DENTAL LLC (Organization)	3303 E QUEEN CREEK RD STE 106 GILBERT, AZ 85297 (480) 988-2079	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1497486179	PHOENIX ARIZONA DENTAL GROUP INC (Organization)	4365 E. PECOS DRIVE BLDG 7 SUITE 106-107 GILBERT, AZ 85295 (602) 254-2489		Non-Participating Provider	NO
1497993521	TAYLOR HUGHES SEARE (Individual)	3592 S ATHERTON BLVD STE#107 GILBERT, AZ 85297 (480) 889-1877	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508358664	CASSANDRA RODRIGUEZ (Individual)	1522 S GILBERT RD GILBERT, AZ 85296 (480) 900-8848	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Blue Cross Blue Shield of Michigan Mutual Insurance Company Cigna Healthcare Delta Dental of Michigan Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1508418625	AZ GW ORTHO LLC (Organization)	3329 E BASELINE RD GILBERT, AZ 85234 (480) 632-6868	BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1508959263	COOLEY STATION KIDS DENTIST AND ORTHODONTICS, LLP TOWNE CENTER DENTAL GROUP (Organization)	4049 E WILLIAMS FIELD RD STE 109 GILBERT, AZ 85295 (480) 840-3600	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1518179068	EAST WEST DENTAL, INC. (Organization)	911 S LINDSAY RD STE 101 GILBERT, AZ 85296 (480) 633-5653	UnitedHealthcare	Non-Participating Provider	NO
1518366111	EAST VALLEY DENTAL ANESTHESIA, PLLC (Organization)	67 S HIGLEY RD SUITE 103 GILBERT, AZ 85296 (480) 518-5502		Non-Participating Provider	NO
1518976216	GILBERT SMILES INC GILBERT SMILES (Organization)	1661 S VAL VISTA DR STE C 101 GILBERT, AZ 85296 (480) 558-3100		Non-Participating Provider	NO
1528112158	MICHAEL K. GREDING (Individual)	235 E WARNER RD STE 108 GILBERT, AZ 85296 (480) 558-4331	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 Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1528800836	GIANNA TOMMARELLO (Individual)	2487 S GILBERT RD STE 105 GILBERT, AZ 85295 (855) 637-9920	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Cigna Healthcare Delta Dental of Arizona Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1528822921	TODD MCCLENAGHAN (Individual)	110 S VAL VISTA DR GILBERT, AZ 85296 (480) 725-7155	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538288105	MICHAEL KEVEN BRAEGGER (Individual)	3327 E BASELINE RD GILBERT, AZ 85234 (480) 497-0226		Non-Participating Provider	NO
1538374269	WAYNE G. THORPE, DDS (Organization)	3329 E BASELINE RD GILBERT, AZ 85234 (480) 539-6420		Non-Participating Provider	NO
1538416359	KEVIN BURNS (Individual)	7400 S POWER RD STE 136 GILBERT, AZ 85297 (480) 279-3113	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538520119	XO DENTISTRY PLLC (Organization)	3530 S VAL VISTA DR STE 201 GILBERT, AZ 85297 (480) 900-0001		Non-Participating Provider	NO
1538867460	AVELLE GILBERT ORTHO LLC (Organization)	4365 E PECOS RD STE 136 GILBERT, AZ 85295 (253) 283-2747		Non-Participating Provider	NO
1548342850	BRENT LESLIE POSPISIL (Individual)	2730 S VAL VISTA DR STE 106 GILBERT, AZ 85296 (480) 838-3305	Ambetter from Arizona Complete Health BannerAetna 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 of Arizona Florida Combined Life Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1548459316	EXCEPTIONAL DENTISTRY INC. (Organization)	725 W ELLIOT RD SUITE 104 GILBERT, AZ 85233 (480) 633-1481		Non-Participating Provider	NO
1548489990	MARJORIE WRIGHT (Individual)	1654 S MARBLE ST GILBERT, AZ 85296 (480) 634-4676		Non-Participating Provider	NO
1548654791	ARLENE LORA NADIRA KEWALLAL (Individual)	1520 W WARNER RD STE 110 GILBERT, AZ 85233 (615) 410-8669	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1558689703	HAMED REZAKHAN (Individual)	1425 W ELLIOT RD STE 101 GILBERT, AZ 85233 (602) 491-1818	Ambetter from Arizona Complete 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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1558760066	PAYAL THAKAR (Individual)	3011 S LINDSAY RD SUITE 104 GILBERT, AZ 85295 (480) 219-6336	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1568184612	INNOVATIVE SMILE MAKERS LLC POWER SMILES DENTAL CARE (Organization)	8490 S POWER RD STE 106 GILBERT, AZ 85297 (480) 580-1499		Non-Participating Provider	NO
1568564201	BLAKE SCHOW (Individual)	1355 S HIGLEY RD STE 117 GILBERT, AZ 85296 (480) 632-7500	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1568584902	HEATHER ANNE SUTHERLAND (Individual)	201 W GUADALUPE RD SUITE 102 GILBERT, AZ 85233 (480) 813-8890	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568595494	GINA MICHELLE ELROD (Individual)	81 W GUADALUPE RD SUITE 101 GILBERT, AZ 85233 (480) 831-0187	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568629236	SCOTT DANIEL ADASHEK (Individual)	2080 E WILLIAMS FIELD RD STE 104 GILBERT, AZ 85295 (480) 284-6402	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Delta Dental of Arizona Paramount Paramount Dental	Opted out of Medicare	YES
1568651685	JOHN K SWAIN (Individual)	1661 S VAL VISTA DR SUITE # C-101 GILBERT, AZ 85295 (480) 558-3100	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568662146	JAE WOO CHUNG (Individual)	1395 E WARNER RD STE. 105C GILBERT, AZ 85296 (480) 558-0212	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568772275	TARA A MATTINGLY (Individual)	1851 E BASELINE RD 103 GILBERT, AZ 85233 (480) 558-9000	Humana	Non-Participating Provider	NO
1578069167	DANIEL CHOI (Individual)	6466 S HIGLEY RD STE 101 GILBERT, AZ 85298 (480) 457-8283	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1578293957	KEVIN NGUYEN (Individual)	753 N MCQUEEN RD STE 102-103 GILBERT, AZ 85233 (972) 361-0700	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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1578331633	VAN DUKER PEDIATRIC PLLC (Organization)	5505 S LINDSAY SUITE 105 GILBERT, AZ 85298 (253) 549-8789		Non-Participating Provider	NO
1578613311	ERIC LYNN KERBS (Individual)	3050 E CHANDLER HEIGHTS RD STE 105 GILBERT, AZ 85298 (480) 630-7266	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1578839148	EAST VALLEY PEDIATRIC DENTISTRY (Organization)	1355 S HIGLEY RD STE 117 GILBERT, AZ 85296 (480) 632-7500	BannerAetna	Non-Participating Provider	NO
1578877262	JAMES BRADEN MICHAUD (Individual)	2363 E BASELINE RD GILBERT, AZ 85234 (480) 558-1400	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 Arizona Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1578997862	WYATT S DANNELS (Individual)	2964 E LONGHORN DR GILBERT, AZ 85297 (480) 209-5722	Ambetter from Arizona Complete 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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1588002588	JOHNSON & LARSEN FAMILY DENTISTRY (Organization)	726 N GREENFIELD RD STE 126 GILBERT, AZ 85234 (480) 813-8890	BannerAetna	Non-Participating Provider	NO
1588017370	BNB, LLC (Organization)	652 E WARNER RD STE 101 GILBERT, AZ 85296 (480) 545-8400		Non-Participating Provider	NO
1588754949	FRANK ALTIER (Individual)	5329 S TATUM LN GILBERT, AZ 85298 (724) 217-2707	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 Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1588786511	SEVILLE FAMILY DENTISTRY PLC (Organization)	3336 E CHANDLER HEIGHTS RD SUITE 119 GILBERT, AZ 85297 (480) 279-4790	BannerAetna	Non-Participating Provider	NO
1598131146	SONORAN VISTA DENTISTRY (Organization)	1757 E BASELINE RD #129 GILBERT, AZ 85233 (480) 545-0661	BannerAetna	Non-Participating Provider	NO
1598337255	ADMINISURG LLC (Organization)	1489 S HIGLEY RD BLDG 1 GILBERT, AZ 85296 (480) 945-3629		Non-Participating Provider	NO
1598729907	ADRIATIK RAMA (Individual)	1166 S GILBERT RD SUITE 117 GILBERT, AZ 85296 (480) 888-8095	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1609065556	DANIEL JARED GIBBONS (Individual)	3333 E BASELINE RD GILBERT, AZ 85234 (480) 892-9190	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1609100700	AN ELEGANT SMILE P.C. AN ELEGANT SMILE DENTISTRY (Organization)	3336 E CHANDLER HEIGHTS RD BLDG 1 GILBERT, AZ 85298 (480) 840-6556		Non-Participating Provider	NO
1609578202	CLAUDIO MIRO (Individual)	1030 N COLORADO ST STE 102 GILBERT, AZ 85233 (706) 721-2251		Non-Participating Provider	NO
1609841451	HAPPY GREWAL (Individual)	81 W GUADALUPE RD STE 101 GILBERT, AZ 85233 (480) 507-2922	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1619003985	RIGAS NICK KARIOTOGLOU (Individual)	3011 S LINDSAY RD STE 118 GILBERT, AZ 85295 (480) 857-9009	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 Delta Dental of Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1619160199	SERENITY DENTAL (Organization)	3341 E QUEEN CREEK RD STE 101 GILBERT, AZ 85297 (480) 305-3200	BannerAetna	Non-Participating Provider	NO
1619347044	SMILES AT MERCY GILBERT LLC (Organization)	3509 S MERCY RD STE 107 GILBERT, AZ 85297 (480) 807-6453		Non-Participating Provider	NO
1619374253	MOBILE DENTAL GROUP LLC (Organization)	3823 E CAVALRY CT GILBERT, AZ 85297 (480) 862-0641	Ambetter from Meridian Ambetter Health	Non-Participating Provider	NO
1619435740	JUSTIN RAY MACKERT (Individual)	1322 N COOPER RD GILBERT, AZ 85233 (480) 626-0262	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 BridgeSpan Health Company DentaTrust/DentaSpan Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1629050158	SAMANTHA T. KOLINSKI (Individual)	4915 E. BASELINE ROAD SUITE 107 GILBERT, AZ 85234 (480) 218-6000	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1629296330	SARAH KUHLMANN (Individual)	1851 E BASELINE RD STE 103 GILBERT, AZ 85233 (480) 558-9000	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 Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1629426507	PROGRESSIVE SLEEP & WELLNESS PLLC (Organization)	3303 E BASELINE RD STE 105 GILBERT, AZ 85234 (480) 507-1993		Non-Participating Provider	NO
1639309594	MARIO HERREJON-RUIZ (Individual)	4935 S VAL VISTA DR STE 104 GILBERT, AZ 85298 (480) 482-7773	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1639481062	BRANDON L SCHMIDT (Individual)	2483 S MARKET ST STE 101 GILBERT, AZ 85295 (480) 857-1044	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1639846165	ELLIOT ROAD DENTAL - ISLAND PLLC (Organization)	1489 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 507-9400	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1649353301	CHAD RYAN HAAK (Individual)	3011 S LINDSAY RD SUITE 104 GILBERT, AZ 85295 (480) 471-8955	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1649539511	BRAD MICHAEL JOHNSON (Individual)	726 N GREENFIELD RD STE 126 GILBERT, AZ 85234 (480) 813-8890	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649601014	FULCHER DENTAL PLC TOWN SQAURE DENTAL (Organization)	1166 S GILBERT RD STE 117 GILBERT, AZ 85296 (480) 888-8095		Non-Participating Provider	NO
1649972688	EMERGENT DENTAL SERVICES, LLC (Organization)	2174 E WILLIAMS FIELD RD STE 200 GILBERT, AZ 85295 (480) 892-5089		Non-Participating Provider	NO
1659462117	BRADFORD BALL (Individual)	2550 E GUADALUPE RD SUITE #101 GILBERT, AZ 85234 (480) 558-0777		Non-Participating Provider	NO
1659863975	JONATHAN J ZUNIGA (Individual)	33 N LINDSAY RD STE 101 GILBERT, AZ 85234 (480) 539-7323	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1669408472	BRETT MICHAEL QUACKENBUSH (Individual)	1534 E RAY RD #121 GILBERT, AZ 85296 (480) 963-8373	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1669523833	SCOTT M CONDIE (Individual)	1757 E BASELINE RD STE 109 GILBERT, AZ 85233 (480) 497-2000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental Security Health Plan UnitedHealthcare	Non-Participating Provider	NO
1669625331	KATIE KEHUI MCDOUGALL (Individual)	2483 S MARKET ST SUITE 101 GILBERT, AZ 85295 (480) 857-1044	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1669658233	N. PATEL DDS, PLLC ISLAND DENTAL (Organization)	1489 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 507-9400	BannerAetna	Non-Participating Provider	NO
1679608947	LINDSAY-WARNER HOLDINGS LLC AGE-DEFYING DENTISTRY, GILBERT (Organization)	652 E WARNER RD STE 101 GILBERT, AZ 85296 (480) 545-8400		Non-Participating Provider	NO
1679762728	DONALD RICHARD CHRISTIANSEN (Individual)	3285 S VAL VISTA DR GILBERT, AZ 85297 (480) 397-2860		Non-Participating Provider	NO
1689703316	ALLISTAIR CAMPBELL RAY (Individual)	1111 N GILBERT RD STE. 117 GILBERT, AZ 85234 (480) 539-7222	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1689875791	CENTER FOR PEDIATRIC DENTISTRY, L.L.C. (Organization)	2571 S VAL VISTA DR STE 101 GILBERT, AZ 85295 (480) 597-5536	Ambetter from Arizona Complete Health DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1699242578	BLUEDOT DENTAL, LLC (Organization)	3327 E BASELINE RD GILBERT, AZ 85234 (480) 497-0226	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1699766410	GREENFIELD FAMILY DENTISTRY PC (Organization)	875 N GREENFIELD RD STE 114 GILBERT, AZ 85234 (480) 632-6999		Non-Participating Provider	NO
1699933317	NAMAN BHAILAL PATEL (Individual)	1489 W ELLIOT RD SUITE 101 GILBERT, AZ 85233 (480) 507-9400	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Renaissance Dental Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1700020146	DONOVAN HANSEN (Individual)	3329 E BASELINE RD GILBERT, AZ 85234 (480) 539-6420	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1700075538	JOHN A. HATCH DDS PC (Organization)	2373 E BASELINE RD #101 GILBERT, AZ 85234 (480) 545-5330		Non-Participating Provider	NO
1710012091	BRETT EDWARD BENSON (Individual)	652 E WARNER RD SUITE 101 GILBERT, AZ 85296 (480) 545-8400	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	NO
1710029095	PATRICK LOUIE CALALANG (Individual)	2450 E GUADALUPE # 108 GILBERT, AZ 85234 (480) 632-9600	Blue Cross and Blue 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	Non-Participating Provider	NO
1710187885	IAN DYLAN YOUNG (Individual)	2483 S MARKET ST STE 101 GILBERT, AZ 85295 (480) 857-1044	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 EMI Health Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1710359658	SV GILBERT, LLC SUN VALLEY PEDIATRIC DENTISTRY GILBERT (Organization)	3592 S ATHERTON BLVD SUITE 107 GILBERT, AZ 85297 (480) 889-1877		Non-Participating Provider	NO
1710385208	SAHIL ARORA (Individual)	1467 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 926-4498	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1710435490	DANIEL MASTERS (Individual)	875 N GREENFIELD RD STE 114 GILBERT, AZ 85234 (480) 632-6999	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1720243959	HARSHA SANTIAGO (Individual)	2363 E BASELINE RD GILBERT, AZ 85234 (480) 558-1400	Blue Cross and Blue 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
1720267628	ROBERT JAMES BROWN (Individual)	26 N GILBERT RD GILBERT, AZ 85234 (480) 963-3992	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Arizona EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1730200148	PERFECT TEETH - GILBERT P.C. PERFECT TEETH - GILBERT P.C. (Organization)	81 W GUADALUPE RD STE, 101 GILBERT, AZ 85233 (480) 507-2922		Non-Participating Provider	NO
1730227240	QUANG LE DDS PA ALPHA DENTAL GROUP (Organization)	894 E WARNER RD #105 GILBERT, AZ 85296 (480) 882-9588	DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1730294646	IKE B HARDY (Individual)	3303 S LINDSAY ROAD STE 121 GILBERT, AZ 85296 (480) 699-2940	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1730302472	TED HSIANG TANG (Individual)	911 S LINDSAY RD STE 101 GILBERT, AZ 85296 (480) 633-5653	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1730650508	QUICK SMILES LLC. (Organization)	2268 E WILLIAMS FIELD RD STE 118 GILBERT, AZ 85295 (480) 757-0000	BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1730721416	GIBBONS DENTAL ASSOCIATES LLC (Organization)	3333 E BASELINE RD GILBERT, AZ 85234 (480) 892-9190	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1740313394	ALPHA CANYON ENDODONTICS, PC ADVANCED CANYON ENDODONTICS, PC (Organization)	875 N GREENFIELD RD SUITE 111 GILBERT, AZ 85234 (480) 558-1988		Non-Participating Provider	NO
1740409358	BREEZE DENTAL, PLLC (Organization)	2680 S VAL VISTA DR SUITE 103 GILBERT, AZ 85296 (480) 782-8825		Non-Participating Provider	NO
1740471184	BRIAN B ROBERTS (Individual)	4365 E PECOS RD STE 137 GILBERT, AZ 85297 (480) 507-1943	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1740627744	GILBERT MODERN DENTISTRY AND ORTHODONTICS, LLP GILBERT MODERN DENTISTRY AND ORTHODONTICS (Organization)	6466 S HIGLEY RD SUITE 101 GILBERT, AZ 85298 (480) 457-8283	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1740821420	GILBERT VALLEY DENTAL LLC (Organization)	3592 S ATHERTON BLVD STE 107 GILBERT, AZ 85297 (480) 889-1877	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1740988849	HOOTAN MONAJEMI (Individual)	3562 S WREN DR GILBERT, AZ 85297 (703) 554-0197	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750498507	JUMANA GHORAB (Individual)	2550 E GUADALUPE RD SUITE 105 GILBERT, AZ 85234 (480) 545-0724	Delta Dental of Arizona Guardian	Non-Participating Provider	NO
1750642559	SARAH ELIZABETH JOHNSON (Individual)	6466 S HIGLEY RD GILBERT, AZ 85298 (480) 457-8283	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1760040208	SEAN L BRINGHURST (Individual)	5505 S. LINDSAY RD. STE. 106 GILBERT, AZ 83201 (480) 670-7106	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1760093835	DENTAL DESIGN STUDIO (Organization)	2323 E GUADALUPE RD STE 101 GILBERT, AZ 85234 (480) 621-5535	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1760125504	BLUEBIRD PEDIATRIC DENTISTRY PLLC (Organization)	1520 W WARNER RD STE 110 GILBERT, AZ 85233 (615) 410-8669		Non-Participating Provider	NO
1760264816	COPPER STATE DENTISTRY LLC (Organization)	857 E WARNER RD STE 103 GILBERT, AZ 85296 (480) 690-5200	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1760545461	ELDON DEAN STOTT (Individual)	857 E WARNER RD SUITE 103 GILBERT, AZ 85296 (480) 821-4868	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 Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1760573315	JONATHAN L STAKER (Individual)	2550 E GUADALUPE RD SUITE #101 GILBERT, AZ 85234 (480) 558-0777		Non-Participating Provider	NO
1760757371	NATHAN LARSON (Individual)	1717 E QUEEN CREEK RD GILBERT, AZ 85298 (623) 400-3234		Non-Participating Provider	NO
1770135048	SONIA JACOB KUNTHARA (Individual)	633 E RAY RD STE 104 GILBERT, AZ 85296 (480) 833-0880	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770706806	JAMES RICHARD MICHAUD (Individual)	2363 E BASELINE RD GILBERT, AZ 85234 (480) 558-1400	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 Blue Cross Blue Shield of Arizona Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1770758765	SAN TAN RANCH SMILES LLC (Organization)	3592 S ATHERTON BLVD SUITE 112 GILBERT, AZ 85297 (480) 457-8600		Non-Participating Provider	NO
1770801656	DB DENTAL HOLDINGS, LLC AGE-DEFYING DENTISTRY, QC (Organization)	652 E WARNER RD STE 101 GILBERT, AZ 85296 (480) 545-8400	BannerAetna	Non-Participating Provider	NO
1780178954	ANNA NGUYEN VU (Individual)	2483 S MARKET ST STE 101 GILBERT, AZ 85295 (480) 857-1044	Ambetter from Arizona Complete Health 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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1780316745	WALTER CLARK JULIAN (Individual)	2540 S SAN TAN VILLAGE PKWY STE 104 GILBERT, AZ 85295 (480) 892-5089	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1780600304	ROBERT A MACDONALD (Individual)	2550 E GUADALUPE RD STE 103 GILBERT, AZ 85234 (480) 558-4312	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1780749333	ABC DENTISTRY FOR CHILDREN LLC (Organization)	2357 E BASELINE RD GILBERT, AZ 85234 (480) 558-1400	UnitedHealthcare	Non-Participating Provider	NO
1780880880	ISLAND DENTAL (Organization)	1489 W ELLIOT RD STE 101 GILBERT, AZ 85233 (480) 507-9400	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1780955716	CARMICHAEL PEDIATRIC DENTISTRY LITTLE TYKES PEDIATRIC DENTISTRY (Organization)	3592 S ATHERTON BLVD STE #107 GILBERT, AZ 85297 (480) 889-1877	UnitedHealthcare	Non-Participating Provider	NO
1790247146	XO DENTISTRY - AZ P.C. (Organization)	3530 S VAL VISTA DR STE 201 GILBERT, AZ 85297 (480) 900-0001	BannerAetna	Non-Participating Provider	NO
1790333672	BENJAMIN ZUNIGA DDS LLC (Organization)	33 N LINDSAY RD STE 101 GILBERT, AZ 85234 (480) 539-7323	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1801085444	MATTHEW GARY ROPER (Individual)	4902 S VAL VISTA DR STE 107 GILBERT, AZ 85298 (480) 963-9900	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1801094875	SIENNA SPRINGS DENTAL PLLC (Organization)	1355 S HIGLEY RD 120 GILBERT, AZ 85296 (480) 279-5233	UnitedHealthcare	Non-Participating Provider	NO
1811251580	JOSHUA M ARMSTRONG (Individual)	5215 E BASELINE RD STE 101 GILBERT, AZ 85234 (801) 358-3655	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1811489594	SKYLER JAY SMITH (Individual)	3160 E QUEEN CREEK RD STE 102 GILBERT, AZ 85297 (480) 620-7101	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821227844	ZACHARY KELLY DAVIS (Individual)	1355 S HIGLEY RD GILBERT, AZ 85296 (415) 902-0272	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 Humana Renaissance Dental	Non-Participating Provider	NO
1821677964	EDWARD TUCKER RUDISILL (Individual)	1030 N COLORADO ST GILBERT, AZ 85233 (501) 701-0539	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental Florida Combined Life HMO Louisiana Humana Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	YES
1831148303	STEPHEN A. KOVAR (Individual)	81 W GUADALUPE RD SUITE 101 GILBERT, AZ 85233 (480) 507-2922		Non-Participating Provider	NO
1831236793	DOUGLAS LLOYD SMITH (Individual)	1467 W ELLIOT RD SUITE 101 GILBERT, AZ 85233 (480) 926-4498		Non-Participating Provider	NO
1831246321	NATHAN JOHN SAYDYK (Individual)	936 EAST WILLIAMSFIELD ROAD SUITE 102 GILBERT, AZ 85295 (480) 926-0776	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1831286491	JACOB ZUNIGA (Individual)	33 N LINDSAY RD SUITE 101 GILBERT, AZ 85234 (480) 539-7323	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1841491453	DONALD JOSEPH SANCHEZ (Individual)	2550 E GUADALUPE RD SUITE 101 GILBERT, AZ 85234 (480) 272-0070	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 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 Florida Combined Life Humana	Non-Participating Provider	NO
1841553120	JASON WAYNE BRADY (Individual)	3967 E LEAH CT APT 101 GILBERT, AZ 85234 (858) 752-4622	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama Ambetter of Tennessee Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1851470264	M. TODD CHRISTENSEN (Individual)	67 S HIGLEY RD 103 GILBERT, AZ 85296 (480) 518-5502	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 Arizona Cigna Healthcare Delta Dental of Alaska Delta Dental of Arizona EMI Health Florida Combined Life Humana Moda Health Plan Inc. Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861097107	BRIAN B ROBERTS DDS PLC (Organization)	4365 E PECOS RD STE 137 GILBERT, AZ 85295 (480) 507-1943	UnitedHealthcare	Non-Participating Provider	NO
1861509572	MICHIO KUBOTA (Individual)	694 S COOPER RD STE A2 GILBERT, AZ 85233 (480) 632-2255	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861622417	MAHSHID ASRARI (Individual)	3303 S LINDSAY RD STE 106 GILBERT, AZ 85297 (480) 855-8800	Ambetter from Arizona Complete Health 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 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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861860488	GILBERT DENTAL PROFESSIONALS SMILE CLINIQUE (Organization)	110 S VAL VISTA DR SUITE B-7 GILBERT, AZ 85296 (480) 892-0481	BannerAetna	Non-Participating Provider	NO
1871230904	IDEAL DENTAL GILBERT PLLC (Organization)	753 N MCQUEEN RD STE 102 GILBERT, AZ 85233 (480) 645-9519	BannerAetna Solstice Benefits Solstice Healthplans of Arizona Inc. Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1871303677	DENTISTS OF EAST GILBERT, LLP (Organization)	3546 S. POWER RD SUITE 103 GILBERT, AZ 85234 (480) 571-5604		Non-Participating Provider	NO
1871512129	HUNG Q NGUYEN (Individual)	875 N GREENFIELD RD SUITE 111 GILBERT, AZ 85234 (480) 558-1988	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1871521195	MICHAEL A. MAZAHERI (Individual)	725 W ELLIOT RD #104 GILBERT, AZ 85233 (480) 633-1481	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona	Non-Participating Provider	NO
1871631580	DAVID T MADDER (Individual)	1757 E BASELINE RD STE 129 GILBERT, AZ 85233 (480) 545-0661	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 Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1871707836	TIMOTHY J. BASHARA, DMD, PLC SWEET TOOTH PEDIATRIC DENTISTRY (Organization)	5656 S. POWER RD. STE. 118 GILBERT, AZ 85295 (480) 988-1879	BannerAetna DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1871894949	JEFFREY DANIEL PEIFER (Individual)	2680 S VAL VISTA DR STE 161 GILBERT, AZ 85295 (480) 782-8825	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 Guardian	Non-Participating Provider	NO
1871931295	MATTHEW PAUL ROSS (Individual)	2933 E IRONSIDE LN GILBERT, AZ 85298 (480) 577-1066	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Maybe Accepts Medicare	YES
1881007565	JEREMY DIQUATTRO (Individual)	1166 S GILBERT RD STE 117 GILBERT, AZ 85296 (480) 888-8095	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1881076370	BRODIE COOK (Individual)	3558 E WINDSOR DR GILBERT, AZ 85296 (480) 570-2004	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 Guardian	Non-Participating Provider	NO
1881608792	LEINA ABRAHAM-LALANI (Individual)	633 E RAY RD STE 104 GILBERT, AZ 85296 (480) 782-1131		Non-Participating Provider	NO
1881622165	JAMES C JOHNSON (Individual)	1355 S HIGLEY RD STE 117 GILBERT, AZ 85296 (480) 632-7500	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1881887362	JAYGANESH MANOJ BHATT (Individual)	3341 E QUEEN CREEK RD STE 101 GILBERT, AZ 85297 (480) 305-3200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891306478	MATTHEW JANBOU (Individual)	6466 S HIGLEY RD STE 101 GILBERT, AZ 85298 (480) 457-8283	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	YES
1891893590	ALEX HATCH (Individual)	2373 E BASELINE RD STE 101 GILBERT, AZ 85234 (480) 545-5330	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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891908315	MORTEZA ZAMANI (Individual)	130 W GUADALUPE RD APT#2058 GILBERT, AZ 85233 (602) 301-2441	Ambetter from Arizona Complete Health 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 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 of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1902046758	SHELTON L CHOW (Individual)	75 E RIVULON BLVD STE 104 GILBERT, AZ 85297 (520) 440-1856	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1902119712	JESSE FOLK HEAD (Individual)	1757 E. BASELINE ROAD BUILDING #8, SUITE #129 GILBERT, AZ 85233 (480) 545-0661	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1902250368	ARIZONA SMILES, P.C. (Organization)	1400 N GILBERT RD SUITE Z GILBERT, AZ 85234 (480) 892-5089		Non-Participating Provider	NO
1902976632	ASRARI ENDODONTICS LLC (Organization)	3303 S LINDSAY RD SUITE #106 GILBERT, AZ 85296 (480) 855-8800	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1912066721	BRANDON GARTH GOATES (Individual)	3885 S VAL VISTA DR SUITE 106 GILBERT, AZ 85297 (480) 899-8999	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 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1912099078	NICHOLAS B LAFEBER (Individual)	3011 S LINDSAY RD #104 GILBERT, AZ 85296 (480) 855-5544	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 BridgeSpan Health Company EMI Health Florida Combined Life Guardian Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1912275991	JOHN MELVIN MORRIS (Individual)	1757 E BASELINE RD STE 109 GILBERT, AZ 85233 (480) 452-7390	Ambetter from Arizona Complete Health 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 Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1912452558	SCOTT T PETERSON (Organization)	4216 S MARIPOSA DR GILBERT, AZ 85297 (801) 710-2226		Non-Participating Provider	NO
1912980640	JENNIFER LEA BAILEY (Individual)	78 N COOPER RD STE 107 GILBERT, AZ 85233 (480) 964-1000	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1922335652	ARIZONA SMILES P.C. (Organization)	1400 N GILBERT RD STE A GILBERT, AZ 85234 (480) 892-5089		Non-Participating Provider	NO
1922463538	ASSOCIATED DENTAL CARE PROVIDERS (Organization)	3160 E QUEEN CREEK RD SUITE #102 GILBERT, AZ 85297 (480) 212-0220		Non-Participating Provider	NO
1922848753	AZ SPECIALTY DENTAL SERVICES, LLC (Organization)	3011 S LINDSAY RD STE 108 GILBERT, AZ 85295 (480) 917-9339		Non-Participating Provider	NO
1932099199	ANDREW JOHN CARLSON (Individual)	2540 S SAN TAN VILLAGE PKWY STE 104 GILBERT, AZ 85295 (480) 307-4837		Non-Participating Provider	NO
1932234176	CURTIS DALE JOHNSON (Individual)	201 W GUADALUPE RD STE. 102 GILBERT, AZ 85233 (480) 813-8890		Non-Participating Provider	NO
1942078571	POWER SLEEP AZ LLC (Organization)	8490 S POWER RD STE 106 GILBERT, AZ 85297 (480) 382-3314		Non-Participating Provider	NO
1942315478	GILBERT DENTAL CENTER GILBERT DENTAL CLINIC (Organization)	1400 N GILBERT RD SUITE A GILBERT, AZ 85234 (480) 892-5089	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1942505565	HIGLEY PARK DENTAL CARE (Organization)	1355 S HIGLEY RD STE 110 GILBERT, AZ 85296 (480) 279-0079	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1942989348	JULIE DO (Individual)	4902 S VAL VISTA DR STE 107 GILBERT, AZ 85298 (480) 963-9900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1952578411	DAVID ANDREW BENSON (Individual)	2680 S VAL VISTA DR STE 164 GILBERT, AZ 85295 (480) 855-3223	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. 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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1962091454	HIGHBURY DENTAL MANAGEMENT, LLC (Organization)	1425 W ELLIOT RD STE 101 GILBERT, AZ 85233 (602) 536-7072	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1962159988	NAMRATA PATEL (Individual)	4049 E WILLIAMS FIELD RD STE 109 GILBERT, AZ 85295 (480) 840-3600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1962587394	BRIAN A LILIEN (Individual)	2730 S VAL VISTA DR SUITE 164 GILBERT, AZ 85295 (480) 633-9977	Ambetter from Arizona Complete 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 Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1962674192	JUNIUS N. GIBBONS DDS, PC (Organization)	3333 E BASELINE RD GILBERT, AZ 85234 (480) 892-9190	UnitedHealthcare	Non-Participating Provider	NO
1962719005	FAMILYTREE DENTAL & ORTHODONTICS PLLC (Organization)	201 W GUADALUPE RD STE 102 GILBERT, AZ 85233 (816) 805-1599		Non-Participating Provider	NO
1972397693	MOUNTAIN SMILES GARZA PLLC (Organization)	754 S VAL VISTA DR #106 GILBERT, AZ 85296 (480) 539-7979		Non-Participating Provider	NO
1972631463	MAI CHI SAMANTHA VU (Individual)	3336 E CHANDLER HEIGHTS RD BUILDING B, SUITE 111 GILBERT, AZ 85297 (480) 988-0028	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1972658524	DAVID JOHN VELASCO (Individual)	652 E WARNER RD STE 101 GILBERT, AZ 85296 (480) 545-8400	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1982215182	ARIZONA SMIILE CENTER PLLC (Organization)	2540 S SAN TAN VILLAGE PKWY STE 104 GILBERT, AZ 85295 (480) 892-5089	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1982621728	RAY WILLIAM TUCKETT (Individual)	2451 E BASELINE RD SUITE 210 GILBERT, AZ 85234 (480) 545-8700	Ambetter from Arizona Complete Health BannerAetna 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 of Arizona Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1982795548	KIMBERLY SHERRILL (Individual)	2550 E GUADALUPE RD SUITE #101 GILBERT, AZ 85234 (480) 558-0777	Delta Dental of Arizona	Non-Participating Provider	NO
1992724173	AMIR MICHAEL ETEBARI (Individual)	1395 E WARNER RD STE # 105C GILBERT, AZ 85296 (480) 558-0212	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992764666	JEFFREY C. H. CHOW (Individual)	2450 E GUADALUPE RD SUITE 104 GILBERT, AZ 85234 (480) 635-8787	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES

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