Dentist Providers In Hampton, Virginia

Search Dentist NPI records in Hampton, VA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Hampton, VA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 152, of which 33 are registered as organizations and 119 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.

78% Individuals

22% Organizations

22% Female

57% Male

78% Individual Providers (119)22% Medical Organizations (33)22% Female Providers (33)57% Male Providers (86)

Map of Providers

We have mapped the Dentist providers in Hampton, VA 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 Hampton, VA
NPI	Name	Address	Insurance	Medicare	PECOS
1003212572	HAMPTON FAMILY DENTISTRY A DIVISION OF ATLANTIC DENTAL CARE (Organization)	1817 TODDS LN HAMPTON, VA 23666 (757) 827-7770		Non-Participating Provider	NO
1003567678	ROSE MARIE GONZALES (Individual)	4410 CLAIBORNE SQ E STE 334 HAMPTON, VA 23666 (888) 964-6681	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1003900234	MICHAEL P. MCCORMICK JR., D.D.S., P.C. CARING FOR KIDS AND PARENTS (Organization)	901 ENTERPRISE PKWY STE 500 SUITE 500 HAMPTON, VA 23666 (757) 896-4900		Non-Participating Provider	NO
1003963646	WILLIAM MARK STALL (Individual)	2111 HARTFORD RD HAMPTON, VA 23666 (757) 851-5939		Non-Participating Provider	NO
1013099894	MICHAEL P. MCCORMICK (Individual)	901 ENTERPRISE PKWY SUITE 500 HAMPTON, VA 23666 (757) 896-4900		Non-Participating Provider	YES
1013325190	MICHELLE ELIZABETH STELMACH (Individual)	2040 COLISEUM DRIVE FAMILY DENTAL LLC HAMPTON, VA 23666 (757) 262-0020	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1023855442	OCHUWA AUDU (Individual)	2165 CUNNINGHAM DR HAMPTON, VA 23666 (757) 755-8829	BEST Life Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1023863750	LACY DEE HYLTON (Individual)	77 NEALY AVE HAMPTON, VA 23665 (757) 225-1523		Non-Participating Provider	NO
1033431770	DARCHELLE MARIE BRAXTON (Individual)	2113 HARTFORD ROAD COLISEUM PEDIATRIC DENTISTRY HAMPTON, VA 23666 (804) 334-1419	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
1033568647	VIKRAM S. POLE (Individual)	208 FOX HILL RD STE B HAMPTON, VA 23669 (757) 850-2100	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1043920895	NICOLE SLAVOSKI (Individual)	92 NEALY BLVD HAMPTON, VA 23665 (757) 215-6176		Non-Participating Provider	NO
1053956011	THE FOLECK CENTER PLLC (Organization)	3834 KECOUGHTAN RD HAMPTON, VA 23669 (757) 965-7696	UnitedHealthcare	Non-Participating Provider	NO
1083454797	THE FOLECK CENTER, LTD. (Organization)	3824 KECOUGHTAN RD HAMPTON, VA 23669 (757) 727-7726		Non-Participating Provider	NO
1083777445	JOANN CLARK (Individual)	2214 EXECUTIVE DR SUITE A HAMPTON, VA 23666 (757) 838-9486	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1093324840	SIDDHANT GAIDHANE (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1093798696	WILLIAM L DAVENPORT (Individual)	2240 COLISEUM DR HAMPTON, VA 23666 (757) 595-1457	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1093900623	LAWRENCE JEROME FAMILANT (Individual)	18 WEST MELLEN STREET HAMPTON, VA 23663 (757) 722-5316		Non-Participating Provider	NO
1124232574	FRANCIS D MULLEN DMD PC (Organization)	2240 COLISEUM DR SUITE B HAMPTON, VA 23666 (757) 838-8411		Non-Participating Provider	NO
1124292131	JON L SCOTT, DDS, PC (Organization)	1186 BIG BETHEL RD HAMPTON, VA 23666 (757) 825-6280		Non-Participating Provider	NO
1134215734	WALTER J SERWATKA (Individual)	1792 CARRIAGE DR HAMPTON, VA 23664 (757) 850-4975		Non-Participating Provider	NO
1134451982	SU MCNEILL (Individual)	2240 COLISEUM DR SUITE F HAMPTON, VA 23666 (757) 827-0250	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1134481161	ASHA W ARTIS (Individual)	2613 W MERCURY BLVD HAMPTON, VA 23666 (757) 826-7372	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1134696594	ELIOTT SUH (Individual)	1070 W MERCURY BLVD HAMPTON, VA 23666 (757) 637-4203	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Nebraska Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1154578094	SCOTT M QUINN (Individual)	2115 EXECUTIVE DR SUITE 8-C HAMPTON, VA 23666 (757) 838-1664	Anthem Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164158309	ALAN PARSONS BOOTH (Individual)	2212 EXECUTIVE DR STE A HAMPTON, VA 23666 (757) 827-0001	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164701934	SYED BILAL AHMED (Individual)	2165 CUNNINGHAM DR HAMPTON, VA 23666 (757) 827-5665	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 Paramount Paramount Dental	Non-Participating Provider	NO
1174584627	CRAIG FLAHERTY (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961		Non-Participating Provider	YES
1184634024	ELIAS JULIAN LLERANDI (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1194133413	YASER NASIF (Individual)	13 GAYLE ST HAMPTON, VA 23669 (575) 551-8788	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1194884866	STEVEN LAYNE PERLMAN (Individual)	4000 W MERCURY BLVD HAMPTON, VA 23666 (757) 826-7372		Non-Participating Provider	NO
1215021845	SCOTT HAYNES FRANCIS (Individual)	2038 NICKERSON BOULEVARD HAMPTON, VA 23663 (757) 851-3530	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 UnitedHealthcare	Non-Participating Provider	NO
1215502570	SAHAR SAREMIFARD (Individual)	76 NEALY BLVD HAMPTON, VA 23665 (757) 225-7630		Non-Participating Provider	NO
1225167612	RUSSELL ALEXANDER PAPE (Individual)	707 TODDS LN HAMPTON, VA 23666 (757) 827-8317		Non-Participating Provider	NO
1225185770	DANIEL S WILLIAMS (Individual)	70 W MERCURY BLVD SUITE 102 HAMPTON, VA 23669 (757) 722-2929	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 UnitedHealthcare	Non-Participating Provider	YES
1225421092	JULITA SINDAYEN MARASIGAN (Individual)	2040 COLISEUM DR HAMPTON, VA 23666 (757) 262-0020	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1245212786	CATHERINE ODEN FULTON (Individual)	1029 WEST MERCURY BLVD HAMPTON, VA 23666 (757) 838-2006	Blue Cross and Blue 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
1245299528	STEVEN L DANNENBERG (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961		Non-Participating Provider	NO
1245724632	DRASHTI KHAMAR (Individual)	2040 COLISEUM DR # A27 HAMPTON, VA 23666 (757) 262-0020	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1255644159	VARUN JAIN (Individual)	2165 CUNNINGHAM DR HAMPTON, VA 23666 (757) 827-5665	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1275509366	MICHAEL WAYNE FOX (Individual)	2726 W MERCURY BLVD HAMPTON, VA 23666 (757) 826-0260		Non-Participating Provider	NO
1275722936	WILLIAM R. CORNETTE D.D.S, P.C. (Organization)	1817 TODDS LN HAMPTON, VA 23666 (757) 827-7770		Non-Participating Provider	NO
1275807257	TREMONT ROAD DENTAL SUPER, P.C. SPENCER DENTAL (Organization)	1124 BIG BETHEL RD HAMPTON, VA 23666 (770) 916-9000		Non-Participating Provider	NO
1275938581	JOSEPH SIRAGUSA, DDS,PC A DIVISION OF ATLANTIC DENTAL CARE (Organization)	2114 HARTFORD RD SUITE B HAMPTON, VA 23666 (757) 826-3636		Non-Participating Provider	NO
1285681635	WILLIAM CLINTON JEFFREY (Individual)	2165 CUNNINGHAM DR HAMPTON, VA 23666 (757) 827-5665	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1285724633	ROBERT J. FEILD DDS. PC. (Organization)	171 FOX HILL RD HAMPTON, VA 23669 (757) 851-4400		Non-Participating Provider	NO
1295387207	RAHMA KHALED ELKAMHAWY (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1316931132	MASOUD MILANI (Individual)	138 GLOVER AVE HAMPTON, VA 23665 (757) 764-7525		Non-Participating Provider	NO
1336126333	DAVID BOWERS (Individual)	45 PINE ST LANGLEY AFB HAMPTON, VA 23665 (757) 764-7611		Non-Participating Provider	NO
1336292952	DERRICK MAURICE BROADAWAY (Individual)	3709 KECOUGHTAN RD HAMPTON, VA 23669 (757) 722-8507	Blue Cross and Blue 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
1336300524	DOUGLAS N GRABOWSKI (Individual)	77 NEALY AVE HAMPTON, VA 23665 (866) 645-4584		Non-Participating Provider	NO
1346818580	NICHOLAS NGUYEN (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1356495519	DAVID J. ALEXANDER (Individual)	2019 CUNNINGHAM DR SUITE 314 HAMPTON, VA 23666 (757) 838-2201	Blue Cross and Blue 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
1386096915	QUYEN LE TRAN (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386158673	IBRAHEEM SAMIRAH (Individual)	1194 BIG BETHEL RD HAMPTON, VA 23666 (757) 690-0009	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386706950	HUNTER CLIFTON FRANCIS (Individual)	2038 NICKERSON BLVD HAMPTON, VA 23663 (757) 851-3530	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 UnitedHealthcare	Non-Participating Provider	NO
1386983658	ROBERT JAMES FEILD (Individual)	171 FOX HILL RD HAMPTON, VA 23669 (757) 851-4400	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1386991321	BETHEL P.C. RESOLUTION DENTAL (Organization)	1194 BIG BETHEL RD HAMPTON, VA 23666 (770) 916-9000		Non-Participating Provider	NO
1407141062	RACHEL MARGOT HUBBARD (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	NO
1407833809	JOELLE L.M HENDRICKSON-HAIRSTON (Individual)	907 BIG BETHEL RD HAMPTON, VA 23666 (757) 838-5999	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental	Non-Participating Provider	NO
1407971864	VIRGINIA DEPARTMENT OF HEALTH HAMPTON HEALTH DEPARTMENT DENTAL CLINIC (Organization)	1320 LASALLE AVE HAMPTON, VA 23669 (757) 727-1140		Non-Participating Provider	NO
1417567298	HAJIR ABDUL ALDAOD (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020	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	Non-Participating Provider	NO
1427035807	MICHAEL L. HUTCHINGS (Individual)	1817 TODDS LN HAMPTON, VA 23666 (757) 827-7770	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1437210531	DANIEL S WILLIAMS DDS PC (Organization)	70 WEST MERCURY BLVD SUITE 102 HAMPTON, VA 23669 (757) 722-2929		Non-Participating Provider	NO
1447268693	JAMES DARNELL WATKINS (Individual)	3921 KECOUGHTAN RD HAMPTON, VA 23669 (757) 723-5225	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1447327119	RICHARD JOHN DONZELL (Individual)	2113 HARTFORD RD STE A HAMPTON, VA 23666 (757) 826-7600	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1447670120	GOOD NEIGHBOR DENTAL AT WILLOW OAKS PLLC (Organization)	208 FOX HILL RD HAMPTON, VA 23669 (757) 850-2100		Non-Participating Provider	NO
1457602351	BRYCE QUINN (Individual)	2115 EXECUTIVE DR SUITE 8C HAMPTON, VA 23666 (756) 838-1664	Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1457792749	SHINSIL MOON (Individual)	2165 CUNNINGHAM DR HAMPTON, VA 23666 (757) 827-5665	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
1467476200	LISA DANIELLE HOFFMAN (Individual)	47 W QUEENS WAY HAMPTON, VA 23669 (757) 722-8815		Non-Participating Provider	NO
1467771766	COLISEUM PEDIATRIC DENTISTRY PLLC (Organization)	2113 HARTFORD RD STE C HAMPTON, VA 23666 (757) 838-0800		Non-Participating Provider	NO
1477556439	BRYCE GERALD WHISLER (Individual)	76 NEALY BLVD HAMPTON, VA 23665 (618) 256-7120	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1477566859	LORENZO JOSEPH MODESTE (Individual)	2238 TODDS LN HAMPTON, VA 23666 (757) 825-6098	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1477998771	WILLIAM PAUL CHENG (Individual)	21 TOWN CENTER WAY HAMPTON, VA 23666 (757) 838-9140	Ambetter from Meridian Ambetter Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana MedMutual Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1487729190	JEFFREY PETER BOOTH (Individual)	2212 EXECUTIVE DR SUITE A HAMPTON, VA 23666 (757) 827-0001	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1497957286	VIRGINIA ORTHODONTIC SPECIALIST (Organization)	2101 EXECUTIVE DR STE 5E HAMPTON, VA 23666 (757) 826-8511		Non-Participating Provider	NO
1508410143	CAMERON ROSS WOODWARD (Individual)	76 NEALY BLVD BLDG 92 HAMPTON, VA 23665 (757) 225-7630	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 EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508947326	DANIEL GUY STOCKBURGER (Individual)	3834 KECOUGHTAN RD HAMPTON, VA 23669 (757) 727-7726	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 Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1518058700	JOHN ANDREW MRAZIK (Individual)	3000 COLISEUM DR SUITE 204 HAMPTON, VA 23666 (757) 838-3975		Non-Participating Provider	NO
1528750114	SHAIMAA AZZUBAIRI (Individual)	1070 W MERCURY BLVD HAMPTON, VA 23666 (757) 637-4203		Non-Participating Provider	NO
1538531777	SCOTT H. FRANCIS, DDS FRANCIS DENTISTRY, A DIVISION OF ATLANTIC DENTAL CARE (Organization)	2038 NICKERSON BLVD HAMPTON, VA 23663 (757) 851-3530	UnitedHealthcare	Non-Participating Provider	NO
1538792197	VIVEK NARRA (Individual)	2040 COLISEUM DR HAMPTON, VA 23666 (757) 262-0020	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Illinois DentaQuest Insurance Company Inc- IL Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1548341365	ROBERT ANDREW DREELIN (Individual)	3834 KECOUGHTAN RD HAMPTON, VA 23669 (757) 727-7726		Non-Participating Provider	NO
1548602055	THOMAS W FEILD (Individual)	171 FOX HILL RD HAMPTON, VA 23669 (757) 851-4400	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1578247094	PENINSULA PERIODONTICS AND IMPLANTS PLLC (Organization)	1194 BIG BETHEL RD STE B HAMPTON, VA 23666 (757) 850-2100		Non-Participating Provider	NO
1588627566	VAL GIBBERMAN (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961		Non-Participating Provider	NO
1598554958	HALLIE WARD (Individual)	92 NEALY BLVD HAMPTON, VA 23665 (757) 764-6824		Non-Participating Provider	NO
1598787343	JOSEPH J SIRAGUSA II (Individual)	2114 HARTFORD RD SUITE B HAMPTON, VA 23666 (757) 826-3636	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1609291798	USAMA MATAR (Individual)	2040 COLISEUM DR HAMPTON, VA 23666 (857) 939-1577	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
1609890730	MICHAEL J. KOKORELIS (Individual)	2113 HARTFORD RD HAMPTON, VA 23666 (757) 827-1572	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Opted out of Medicare	YES
1609963297	TREMONT ROAD DENTAL, PC SPENCER DENTAL (Organization)	2165 CUNNINGHAM DRIVE HAMPTON, VA 23666 (800) 920-9947		Non-Participating Provider	NO
1619026838	DAVID LEINGSTON MILLER (Individual)	1 CHARLTON DR HAMPTON, VA 23666 (757) 838-0008	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1619938966	MICHAEL JOHN KAURICH (Individual)	100 EMANCIPATION DR VA MEDICAL CENTER HAMPTON, VA 23667 (757) 722-9961		Non-Participating Provider	NO
1649524752	DENTAL PROFESSIONALS OF VIRGINIA, P.C DENTAL CARE OF HAMPTON (Organization)	70 W MERCURY BLVD STE 102 HAMPTON, VA 23669 (757) 755-2929		Non-Participating Provider	NO
1659050052	SEAN TOWNSEND (Individual)	1130 BIG BETHEL RD HAMPTON, VA 23666 (757) 827-9114		Non-Participating Provider	NO
1669438321	GLENNIS JARRETT (Individual)	76 NEALY BLVD HAMPTON, VA 23665 (757) 764-6824	Ambetter Health Ambetter Health of Delaware Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1669455358	ALLAN C SUNDIN DDS MS PC (Organization)	2107 HARTFORD RD HAMPTON, VA 23666 (757) 838-0800		Non-Participating Provider	NO
1669692547	MICHAEL J. KOKORELIS, DMD, INC. (Organization)	2113 HARTFORD RD HAMPTON, VA 23666 (757) 827-1572		Non-Participating Provider	NO
1669855011	DAVID MILLER (Individual)	131 ATLANTIC AVE UNIT B HAMPTON, VA 23664 (570) 412-1684	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 Florida Combined Life UnitedHealthcare	Non-Participating Provider	NO
1689402877	VIJAY RAHUL MARKONDA PATNAIK (Individual)	2400 CUNNINGHAM DR STE 100 HAMPTON, VA 23666 (973) 687-4302	Florida Combined Life Humana	Non-Participating Provider	NO
1689901134	NOAH AGARD (Individual)	1817 TODDS LN HAMPTON, VA 23666 (757) 827-7770		Non-Participating Provider	NO
1689942377	FAMILY DENTAL OF VIRGINIA, LLC (Organization)	2040 COLISEUM DR STE. A27 HAMPTON, VA 23666 (757) 262-0020		Non-Participating Provider	NO
1699906255	JUSTIN S EDWARDS (Individual)	2113 HARTFORD RD HAMPTON, VA 23666 (757) 838-0800	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1699948968	GEORGE C DAILEY (Individual)	2118 EXECUTIVE DR HAMPTON, VA 23666 (757) 826-5075		Non-Participating Provider	NO
1700298577	ALEXANDER WARD FUCHS (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (908) 246-3132		Non-Participating Provider	NO
1700298676	JIHEE WOO (Individual)	2111 HARTFORD RD STE D HAMPTON, VA 23666 (917) 650-2249		Non-Participating Provider	NO
1700987641	DONALD CHARLES ROBINSON (Individual)	3709 KECOUGHTAN ROAD HAMPTON, VA 23669 (757) 722-8507	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1710265921	JERRY CHENG (Individual)	2040 COLISEUM DR SUITE A27 HAMPTON, VA 23666 (757) 262-0020	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1710773841	FIONA CLARE CHAMBERS (Individual)	76 NEALY BLVD BLDG 92 HAMPTON, VA 23665 (757) 225-7630		Non-Participating Provider	NO
1720114812	CURTIS W. DAILEY (Individual)	2118 EXECUTIVE DR HAMPTON, VA 23666 (757) 826-5075	Blue Cross and Blue 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1730551706	BETHEL DENTAL ASSOCIATES, P.C. RESOLUTION DENTAL (Organization)	1194 BIG BETHEL RD HAMPTON, VA 23666 (757) 325-9119		Non-Participating Provider	NO
1740076066	JAMES SANFORD (Individual)	92 NEALY BLVD HAMPTON, VA 23665 (757) 764-6824		Non-Participating Provider	NO
1740240977	JOHN THOMAS MARTIN (Individual)	100 EMANCIPATION DR DENTAL (160) HAMPTON, VA 23667 (757) 722-9961		Non-Participating Provider	NO
1740841923	BEKIM CELA (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1750095683	MORRISON DENTAL GROUP HAMPTON PLLC (Organization)	1194 BIG BETHEL RD STE A HAMPTON, VA 23666 (757) 850-2100	UnitedHealthcare	Non-Participating Provider	NO
1760065551	ALEXIS LEE PINO (Individual)	2040 COLISEUM DR HAMPTON, VA 23666 (757) 280-4700		Non-Participating Provider	NO
1770316796	ANAMAR NARVAEZ GODOY (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020		Non-Participating Provider	NO
1780656835	ROGER LUCAS MILLER (Individual)	76 NEALY BLVD HAMPTON, VA 23665 (757) 225-8276		Non-Participating Provider	NO
1780674879	ELMER LEONARD REAVES (Individual)	1320 LASALLE AVE HAMPTON, VA 23669 (757) 727-2585		Non-Participating Provider	NO
1780738575	BARRY JAMES LEJEUNE (Individual)	1130 BIG BETHEL RD HAMPTON, VA 23666 (757) 827-9114	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	Non-Participating Provider	NO
1790852457	MARK FRANK SEDLAK (Individual)	2021A CUNNINGHAM DR SUITE #6 HAMPTON, VA 23666 (757) 827-0580	Blue Cross and Blue 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
1790944452	HAMDI O MOHAMED (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961	Aetna CVS Health Ambetter from Meridian Ambetter 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 CareSource Delta Dental of Ohio Dominion National EMI Health Florida Combined Life Humana MedMutual Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1801857057	ROBERT SCOTT ROLLEY (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961		Non-Participating Provider	NO
1811320427	HYUNGJOO TRUE KIM (Individual)	77 NEALY AVE HAMPTON, VA 23665 (757) 764-6824		Non-Participating Provider	NO
1811352198	HAMTON ORAL & FACIAL SURGERY (Organization)	3000 COLISEUM DR SUITE 204 HAMPTON, VA 23666 (757) 838-3975		Non-Participating Provider	NO
1811393853	ROBERT J FEILD DDS AND ASSOCIATES PC FEILD DENTISTRY- A DIVISION OF ATLANTIC DENTAL CARE (Organization)	171 FOX HILL RD HAMPTON, VA 23669 (757) 851-4400	UnitedHealthcare	Non-Participating Provider	NO
1831180264	JON L SCOTT (Individual)	2108 HARTFORD RD HAMPTON, VA 23666 (757) 825-6280	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
1831402122	JAMES DANIEL CAHN (Individual)	100 EMANCIPATION DR VAMC DENTAL CLINIC (590/160) HAMPTON, VA 23667 (757) 700-9961	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1831484351	CHRISTIAN OGURA MEYERS (Individual)	70 W MERCURY BLVD SUITE 102 HAMPTON, VA 23669 (757) 722-2929	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 UnitedHealthcare	Non-Participating Provider	YES
1831683499	ABEER MOUSA ABDULHAFIZ (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020	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	Non-Participating Provider	NO
1841373354	JOSEPH R KLOCHAK (Individual)	2240 COLISEUM DR STE C HAMPTON, VA 23666 (757) 826-1121		Opted out of Medicare	YES
1851276851	ZACK ZAYAKOSKY, PLLC (Organization)	1817 TODDS LN HAMPTON, VA 23666 (757) 827-7770		Non-Participating Provider	NO
1851495204	CECEIL CHRISTINE GALLOP (Individual)	3709 KECOUGHTAN RD HAMPTON, VA 23669 (757) 722-8507		Non-Participating Provider	NO
1851729685	JASPER N WATTS,DDS,LLC WATTS FAMILY DENTISTRY (Organization)	907 BIG BETHEL RD HAMPTON, VA 23666 (757) 838-5999		Non-Participating Provider	NO
1851870596	LESLEY-ANNE PHU (Individual)	2040 COLISEUM DR # A27 HAMPTON, VA 23666 (757) 262-0020	Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1851902696	VIVEK BUDDHA (Individual)	2040 COLISEUM DR # A27 HAMPTON, VA 23666 (757) 262-0020	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	Non-Participating Provider	NO
1861530537	ALLEN RAY MIKULENCAK (Individual)	4000 W MERCURY BLVD HAMPTON, VA 23666 (757) 826-7372		Non-Participating Provider	NO
1881779221	CURTIS W DAILEY DDS PLLC DAILEY ORTHODONTICS (Organization)	2118 EXECUTIVE DRIVE HAMPTON, VA 23666 (757) 826-5075	UnitedHealthcare	Non-Participating Provider	NO
1891275111	GOUTOM KUMAR SAHA BHOWMICK (Individual)	2040 COLISEUM DR # A27 HAMPTON, VA 23666 (312) 274-4531	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	Non-Participating Provider	NO
1891479531	JARED ANTHONY ROBOHN TOTARO (Individual)	100 EMANCIPATION DR HAMPTON, VA 23667 (757) 722-9961	Anthem Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Alabama Cigna Healthcare EMI Health TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1902053762	DONNAMARIA TAPP-REID (Individual)	2202 EXECUTIVE DR SUITE E HAMPTON, VA 23666 (757) 838-8855	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1902585870	ISLAM SALEH ELDERBASHY (Individual)	1194 BIG BETHEL RD HAMPTON, VA 23666 (757) 239-6280		Non-Participating Provider	NO
1912067968	ERIC EDWARD SMITH (Individual)	2240 COLISEUM DR HAMPTON, VA 23666 (757) 827-0250	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1912350547	THE FOLECK CENTER, LTD. (Organization)	2400 CUNNINGHAM DR SUITE 100 HAMPTON, VA 23666 (757) 838-8411		Non-Participating Provider	NO
1922690023	ANIL KUMAR VENKESHWARLU JAMES (Individual)	2040 COLISEUM DR STE A27 HAMPTON, VA 23666 (757) 262-0020	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932735305	HAMPTON ROADS FAMILY DENTAL (Organization)	3709 KECOUGHTAN RD HAMPTON, VA 23669 (757) 722-8507		Non-Participating Provider	NO
1932751161	WILFRED JOSEPH MCCALL (Individual)	152 CHESTERFIELD RD HAMPTON, VA 23661 (757) 245-5822		Non-Participating Provider	NO
1942097027	MUNAIR LEWIS-FRANCIS (Individual)	633D MEDICAL GROUP 77 NEALY AVENUE HAMPTON, VA 23665 (757) 764-8290		Non-Participating Provider	NO
1942469291	EMMANUEL KWESI AMOAH (Individual)	3709 KECOUGHTAN ROAD HAMPTON, VA 23669 (757) 484-1202	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1942772926	PATRICK ORME (Individual)	76 NEALY BLVD # 92 HAMPTON, VA 23665 (757) 764-2200	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1972254902	SHAYEGH AND KHANNA DDS PLLC (Organization)	2240 COLISEUM DR STE C HAMPTON, VA 23666 (757) 826-1121		Non-Participating Provider	NO
1992233274	MUHAMMAD ADIL QURAISH (Individual)	76 NEALY BLVD HAMPTON, VA 23665 (757) 225-7630	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1992729735	RICHARD STEVEN HOFFMAN (Individual)	47 W QUEENS WAY HAMPTON, VA 23669 (757) 722-8815		Non-Participating Provider	NO

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