Dentist Providers In Holland, Michigan

Search Dentist NPI records in Holland, MI

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Holland, MI. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 124, of which 33 are registered as organizations and 91 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.

73% Individuals

27% Organizations

20% Female

53% Male

73% Individual Providers (91)27% Medical Organizations (33)20% Female Providers (25)53% Male Providers (66)

Map of Providers

We have mapped the Dentist providers in Holland, MI 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 Holland, MI
NPI	Name	Address	Insurance	Medicare	PECOS
1013358456	JOEL ARLAN WALTERS (Individual)	844 WASHINGTON AVE STE 4100 HOLLAND, MI 49423 (616) 392-1108	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1013678119	CLN DENTAL PLLC (Organization)	187 RILEY ST HOLLAND, MI 49424 (616) 399-1500		Non-Participating Provider	NO
1043609738	HOLLAND FAMILY DENTISTRY (Organization)	545 MICHIGAN AVE HOLLAND, MI 49423 (616) 396-1058		Non-Participating Provider	NO
1063411205	DAVID L. RENZEMA (Individual)	532 MICHIGAN AVE HOLLAND, MI 49423 (616) 396-8320	Delta Dental of Michigan	Non-Participating Provider	YES
1063537173	STOUT AND GORDON FAMILY DENTISTRY PLC STOUT AND GORDON FAMILY DENTISTRY (Organization)	12723 N BELLWOOD ST SUITE 30 HOLLAND, MI 49424 (616) 399-8230	Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1063575603	JOHN H KOBS (Individual)	203 WEST 30TH STREET HOLLAND, MI 49423 (616) 392-1477		Non-Participating Provider	YES
1063592814	PETER A HARRIS (Individual)	12251 JAMES ST SUITE 400 HOLLAND, MI 49424 (616) 393-5694		Non-Participating Provider	NO
1063987725	LITTLE RED PEDIATRIC DENTISTRY, PLC (Organization)	12723 N BELLWOOD DR STE 20 HOLLAND, MI 49424 (616) 377-7333	Blue Cross Blue Shield of Michigan Mutual Insurance Company DentaTrust/DentaSpan	Non-Participating Provider	NO
1073027579	MARC RANGEL (Individual)	285 JAMES ST HOLLAND, MI 49424 (855) 869-6900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1083624662	DOUGLAS A BLEYENBURG DDS PC DENTAL OFFICE (Organization)	170 COLLEGE AVE #220 HOLLAND, MI 49423 (616) 392-2302		Non-Participating Provider	NO
1093716706	ROBERT D RENZEMA (Individual)	532 MICHIGAN AVE HOLLAND, MI 49423 (616) 396-8320		Non-Participating Provider	NO
1093794786	CRAIG S. SMITH (Individual)	551 W 18TH ST HOLLAND, MI 49423 (616) 396-6077	Blue Cross and Blue 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
1093882177	DAVID WAYNE GNEGY (Individual)	203 W 30TH ST HOLLAND, MI 49423 (616) 392-2853	Blue Cross and Blue 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
1114076106	DOULGAS J. SCHIPPERS (Individual)	577 MICHIGAN AVE SUITE 102 HOLLAND, MI 49423 (616) 396-1238		Non-Participating Provider	NO
1154452092	JEFFREY T HUISMAN (Individual)	397 120TH AVE HOLLAND, MI 49424 (616) 396-5919		Non-Participating Provider	NO
1154615961	LESLIE NICOLE GLUPKER (Individual)	203 RILEY ST HOLLAND, MI 49424 (616) 399-7110	Delta Dental of Michigan	Non-Participating Provider	NO
1174524243	MICHAEL A SMITH (Individual)	12662 RILEY ST SUITE #130 HOLLAND, MI 49424 (616) 399-6811		Non-Participating Provider	YES
1174844252	BRITTANY ANGEL MAILLOUX-KROSS (Individual)	601 MICHIGAN AVE STE 106 HOLLAND, MI 49423 (616) 392-3717		Non-Participating Provider	YES
1194290999	ANDERSON FAMILY AND COSMETIC DENTISTRY (Organization)	453 136TH AVE. HOLLAND, MI 49424 (616) 226-4444		Non-Participating Provider	NO
1205857588	HILARY MARIE-SKUZA LANE (Individual)	540 MICHIGAN AVE HOLLAND, MI 49423 (616) 881-9545	Delta Dental of Michigan	Non-Participating Provider	YES
1215155676	DAVID CHRISTENSEN DDS PC (Organization)	187 RILEY STREET HOLLAND, MI 49424 (616) 399-1500		Non-Participating Provider	NO
1215910559	STEVEN JOHN DEBBINK (Individual)	285 JAMES ST HOLLAND, MI 49424 (616) 399-0200	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1225026958	JAMES STRIKWERDA D.D.S., P.C. STRIKWERDA FAMILY DENTISTRY (Organization)	181 W 35TH ST HOLLAND, MI 49423 (616) 392-8668		Non-Participating Provider	NO
1225200223	KATHLEEN M STRATTON, DDS, PC (Organization)	890 WASHINGTON AVE SUITE 120 HOLLAND, MI 49423 (616) 355-7009		Non-Participating Provider	NO
1225250475	LEONARD S GOLDFARB (Individual)	285 JAMES STREET HOLLAND, MI 49424 (616) 399-0200		Non-Participating Provider	YES
1245351592	PHARES FAMILY DENTISTRY (Organization)	291 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 396-7502		Non-Participating Provider	NO
1245512631	CARRIE CARMAN (Individual)	285 JAMES ST HOLLAND, MI 49424 (616) 399-0200	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1255727996	ALEXANDER VAN CIBOR (Individual)	1121 OTTAWA BEACH RD STE 100 HOLLAND, MI 49424 (616) 288-4777	Blue Cross and Blue 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 Michigan	Opted out of Medicare	YES
1265012785	JEFFREY THOMAS ANDERSON (Individual)	12723 N BELLWOOD DR STE 20 HOLLAND, MI 49424 (616) 377-7333	Delta Dental of Michigan Guardian	Non-Participating Provider	NO
1275160707	TIMOTHY J GLUPKER DDS (Organization)	203 RILEY ST HOLLAND, MI 49424 (616) 399-7110		Non-Participating Provider	NO
1295956423	EARL KNOWLES PHARES (Individual)	291 W. LAKEWOOD BLVD HOLLAND, MI 49424 (616) 396-7502		Non-Participating Provider	NO
1306990742	RYAN S. LEBSTER (Individual)	12662 RILEY ST 110 HOLLAND, MI 49424 (616) 399-3946		Non-Participating Provider	YES
1316012669	MICHAEL EDWARD MEYER (Individual)	571 MICHIGAN AVENUE HOLLAND, MI 49423 (616) 396-7524		Non-Participating Provider	NO
1316093792	BRYAN WESLEY SHIELDS (Individual)	610 BUTTERNUT DRIVE HOLLAND, MI 49424 (616) 738-6624	Delta Dental of Michigan	Non-Participating Provider	NO
1326179292	JEFFREY T HUISMAN D.D.S. PLLC (Organization)	397 120TH AVE HOLLAND, MI 49424 (616) 396-5919		Non-Participating Provider	NO
1326197880	WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC WEST MICHIGAN ORAL SURGERY (Organization)	601 MICHIGAN AVE SUITE 200 HOLLAND, MI 49423 (616) 530-4710	Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1326415100	KRISTEN BILLINGSLEY (Individual)	1121 OTTAWA BEACH RD STE 100 HOLLAND, MI 49424 (616) 288-4777	Delta Dental of Michigan Guardian	Non-Participating Provider	NO
1346238060	RICHARD J STRIKWERDA (Individual)	181 W 35TH ST HOLLAND, MI 49423 (616) 392-8668		Non-Participating Provider	NO
1346296480	ROBERT CLARK ANKERMAN (Individual)	702 E 8TH ST HOLLAND, MI 49423 (616) 392-2656		Non-Participating Provider	NO
1356339089	SUSAN BEVING STRIKWERDA (Individual)	181 W 35TH ST HOLLAND, MI 49423 (616) 392-8668		Non-Participating Provider	NO
1366069981	WEST MICHIGAN SLEEP APNEA SOLUTIONS PLLC (Organization)	31 E 8TH ST STE 330 HOLLAND, MI 49423 (616) 741-9035		Non-Participating Provider	NO
1376323949	NATHAN B POEL DDS PLLC (Organization)	1180 OTTAWA BEACH RD STE E HOLLAND, MI 49424 (616) 399-9530		Non-Participating Provider	NO
1376362541	PORTO ORTHODONTICS PLLC (Organization)	3300 BEELINE RD HOLLAND, MI 49424 (616) 392-1435		Non-Participating Provider	NO
1376655415	DAVID C OSWALD (Individual)	225 W 30TH ST HOLLAND, MI 49423 (616) 392-2587		Non-Participating Provider	NO
1376991984	REBECCA JANINE CHICOINE-ADAMS (Individual)	285 JAMES ST HOLLAND, MI 49424 (855) 869-6900	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 Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1386783538	THOMAS A STOUT (Individual)	12723 N. BELLWOOD ST SUITE 30 HOLLAND, MI 49424 (616) 399-8230	Humana	Non-Participating Provider	NO
1386788610	PHILIP C WISNIEWSKI (Individual)	291 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 396-9583	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1417483223	MORGAN CATHERINE BIDDLE (Individual)	845 E 16TH ST HOLLAND, MI 49423 (616) 392-2381	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1447546411	STEVEN MICHAEL PRINCE (Individual)	12723 N BELLWOOD DR STE 30 HOLLAND, MI 49424 (616) 399-8230	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 Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1477093425	HAROLD LINCOLN ROBINSON (Individual)	845 E 16TH ST HOLLAND, MI 49423 (484) 467-1036	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 Michigan EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1477503191	BRIAN J BUURMA (Individual)	3290 NORTH WELLNESS DRIVE SUITE 270 HOLLAND, MI 49424 (616) 994-9722	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 Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1487139663	MARIA C. HOEKSTRA DDS, P.C. (Organization)	1121 OTTAWA BEACH ROAD, SUITE 100 HOLLAND, MI 49424 (616) 288-4777		Non-Participating Provider	NO
1497798292	AMY R. LALICK (Individual)	285 JAMES ST HOLLAND, MI 49424 (616) 399-0200	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1518581560	BOJANA HRISTOVA (Individual)	2279 N PARK DR STE 810 HOLLAND, MI 49424 (616) 392-1500	Aetna CVS Health Ambetter from Home State Health Ambetter from Meridian 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Guardian Humana Paramount Paramount Dental Solstice of Illinois Inc. UnitedHealthcare	Non-Participating Provider	NO
1528189867	THOMAS CHASE PHARES (Individual)	291 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 396-7502	Delta Dental of Michigan	Non-Participating Provider	YES
1528240744	MARIA C HOEKSTRA (Individual)	1121 OTTAWA BEACH ROAD SUITE 100 HOLLAND, MI 49424 (616) 399-9520	Delta Dental of Michigan	Non-Participating Provider	YES
1528344363	BENJAMIN H WICKSTRA DDS PLLC (Organization)	99 W 26TH ST HOLLAND, MI 49423 (616) 218-5795		Non-Participating Provider	NO
1538586532	DAVID VANAPPLEDORN (Individual)	533 MICHIGAN AVE HOLLAND, MI 49423 (616) 392-4198		Non-Participating Provider	NO
1538788930	ANDREW JOSEPH BROWN (Individual)	1239 OAKHAMPTON RD HOLLAND, MI 49424 (586) 612-3393	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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1558153528	LAKESHORE SLEEP SOLUTIONS, PLLC (Organization)	187 RILEY ST HOLLAND, MI 49424 (616) 399-1500		Non-Participating Provider	NO
1558744607	ELISE POST (Individual)	12723 N BELLWOOD DR STE 30 HOLLAND, MI 49424 (616) 399-8230	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1568824803	CHRISTOPHER NELIS (Individual)	187 RILEY ST HOLLAND, MI 49424 (616) 399-1500	Delta Dental of Michigan	Non-Participating Provider	NO
1588795439	THOMAS J HUISMAN (Individual)	397 120TH AVE HOLLAND, MI 49424 (616) 396-5919		Non-Participating Provider	NO
1588799175	THOMAS JOEL BOUWENS (Individual)	845 E. 16TH ST. HOLLAND, MI 49423 (616) 392-2381	Delta Dental of Michigan	Non-Participating Provider	NO
1598011231	DANAE JOY WILLENBERG LANGHOLZ (Individual)	12723 N BELLWOOD DR STE 20 HOLLAND, MI 49424 (616) 377-7333	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1598172363	WESTSHORE ENDODONTICS PC (Organization)	904 WASHINGTON AVE SUITE 110 HOLLAND, MI 49423 (616) 392-6385		Non-Participating Provider	NO
1609254069	ANTHONY CHARLES RADEMACHER (Individual)	1459 POST AVE HOLLAND, MI 49424 (616) 403-8296	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Paramount Paramount Dental	Non-Participating Provider	NO
1609851286	TODD ALLEN BROWER (Individual)	971 BUTTERNUT DR HOLLAND, MI 49424 (616) 399-3600	Blue Cross and Blue 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 Michigan Guardian	Non-Participating Provider	NO
1619011004	DANIEL C. GEORGE (Individual)	275 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 392-3169		Non-Participating Provider	NO
1619189677	TIMOTHY J. GLUPKER (Individual)	203 RILEY ST HOLLAND, MI 49424 (616) 399-7110	Delta Dental of Michigan	Non-Participating Provider	NO
1629363593	SARAH E LANGHORST (Individual)	3235 N WELLNESS DR STE A240 HOLLAND, MI 49424 (989) 948-1214	Blue Cross and Blue 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 Michigan	Non-Participating Provider	NO
1639157787	LYNN ALLYN BROUWER (Individual)	971 BUTTERNUT DR HOLLAND, MI 49424 (616) 399-3600		Non-Participating Provider	NO
1639183858	RICHARD JAMES MARTIN (Individual)	99 W 23RD ST HOLLAND, MI 49423 (616) 396-5197		Non-Participating Provider	NO
1649229493	WESTSHORE ENDODONTICS, P.C. (Organization)	904 S WASHINGTON AVE SUITE 110 HOLLAND, MI 49423 (616) 392-6385		Non-Participating Provider	NO
1649254707	CLARE ROYCE VAN WIEREN (Individual)	601 MICHIGAN AVE SUITE 200 HOLLAND, MI 49423 (616) 392-5573		Non-Participating Provider	NO
1659860542	ANGELA J HARRIS (Individual)	890 WASHINGTON AVE STE 120 HOLLAND, MI 49423 (616) 355-7009	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1669080651	PORT PEDIATRIC DENTISTRY PC (Organization)	291 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 392-1100		Non-Participating Provider	NO
1679521967	JAMES STRIKWERDA (Individual)	181 W 35TH ST HOLLAND, MI 49423 (616) 392-8668		Non-Participating Provider	NO
1689086969	KRUTI SHAH (Individual)	12723 N BELLWOOD DR STE 20 HOLLAND, MI 49424 (616) 377-7333	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1700088622	CAMERON HASLAM GEORGE (Individual)	275 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 392-3169	Delta Dental of Michigan Guardian	Non-Participating Provider	NO
1700925690	SUZANNE K PORT (Individual)	291 W LAKEWOOD BLVD HOLLAND, MI 49424 (616) 392-1100	Delta Dental of Michigan	Non-Participating Provider	NO
1720150006	ROBERT L STERKEN (Individual)	844 S WASHINGTON AVE SUITE 4100 HOLLAND, MI 49423 (616) 392-2381	Delta Dental of Michigan	Non-Participating Provider	NO
1730232638	DAVID VANAPPLEDORN, DDS, PC (Organization)	533 MICHIGAN AVE HOLLAND, MI 49423 (616) 392-4198		Non-Participating Provider	NO
1740175397	WILEY SMITH (Individual)	291 W LAKEWOOD BLVD STE 1 HOLLAND, MI 49424 (616) 396-7502		Non-Participating Provider	NO
1740439223	SCOTT J. VANSLAMBROUCK (Individual)	455 BUTTERNUT DR HOLLAND, MI 49424 (616) 394-4700	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 Michigan	Non-Participating Provider	NO
1740852128	UDAY SEKHAR REDDY MAREDDY (Individual)	2279 N PARK DR HOLLAND, MI 49424 (616) 392-1500	Ambetter from Meridian Ambetter Health Ambetter of Illinois Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Companion Life Insurance Company Delta Dental of Indiana Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770326332	KAYLIN WOLTER (Individual)	877 E 16TH ST HOLLAND, MI 49423 (616) 396-5197		Non-Participating Provider	NO
1770762023	THOMAS E ANDERSON (Individual)	1121 OTTAWA BEACH ROAD SUITE 100 HOLLAND, MI 49424 (616) 399-9520	Delta Dental of Michigan	Non-Participating Provider	YES
1770846834	GEORGE KIRBY (Individual)	601 MICHIGAN AVE STE 200 HOLLAND, MI 49423 (616) 392-2329	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 Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Opted out of Medicare	NO
1770926230	SUK JUN YUN (Individual)	3351 W SHORE DR HOLLAND, MI 49424 (347) 369-9277	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 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 Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1790517043	BRIAN J BUURMA DDS MS (Organization)	3290 N WELLNESS DR STE 270 HOLLAND, MI 49424 (616) 994-9722		Non-Participating Provider	NO
1790798148	JOHN DAVID ROUSH (Individual)	540 MICHIGAN AVENUE HOLLAND, MI 49423 (616) 396-7490		Non-Participating Provider	NO
1790824944	DANIEL BRYAN GORDON (Individual)	12723 N BELLWOOD DR SUITE 30 HOLLAND, MI 49424 (616) 399-8230	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 Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Priority Health	Non-Participating Provider	YES
1801825484	PRIYA BANAHATTI (Individual)	285 JAMES STREET HOLLAND, MI 49424 (616) 738-8978	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina Ambetter of Tennessee 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 North Carolina Dominion National EMI Health Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY WellCare of North Carolina	Non-Participating Provider	NO
1801956727	THE SHORELINE FAMILY DENTAL GROUP PC (Organization)	1121 OTTAWA BEACH RD SUITE 100 HOLLAND, MI 49424 (616) 399-9520		Non-Participating Provider	NO
1811001852	WILLIAM A RIGGERT (Individual)	285 JAMES STREET HOLLAND, MI 49424 (616) 728-8978		Non-Participating Provider	NO
1811069198	DANIEL L BOLT (Individual)	845 E. 16TH ST HOLLAND, MI 49423 (616) 392-2381	Delta Dental of Michigan	Non-Participating Provider	NO
1811140973	DOUGLAS A BLEYENBURG (Individual)	170 COLLEGE AVE STE 220 HOLLAND, MI 49423 (616) 392-2302	Delta Dental of Michigan	Non-Participating Provider	YES
1831204155	MICHAEL RAK (Individual)	455 BUTTERNUT DR HOLLAND, MI 49424 (616) 394-4700		Non-Participating Provider	NO
1831321215	AMANPREET JHAJJ (Individual)	3351 W SHORE DR STE 20 HOLLAND, MI 49424 (616) 786-9343	Blue Cross and Blue 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
1841358041	JOHN MELVIN FRIESWYK (Individual)	203 W 30TH ST HOLLAND, MI 49423 (616) 392-2853		Non-Participating Provider	NO
1851685226	BENJAMIN H. WICKSTRA DDS, PLLC (Organization)	567 CENTRAL AVE HOLLAND, MI 49423 (616) 218-5795		Non-Participating Provider	NO
1851709331	BRENT MICHAEL HAZLEWOOD (Individual)	12662 RILEY ST STE 130 HOLLAND, MI 49424 (616) 399-6811	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 Cigna Healthcare Delta Dental of Michigan Paramount Paramount Dental	Non-Participating Provider	YES
1851888481	TCOB HOLDINGS, PC MAILLOUX DENTISTRY (Organization)	601 MICHIGAN AVE STE 106 HOLLAND, MI 49423 (161) 639-2371		Non-Participating Provider	NO
1851940068	SMILE SOUTH HOLLAND (Organization)	205 W 29TH ST STE 100 HOLLAND, MI 49423 (616) 392-2587	Ambetter from Meridian Ambetter Health Blue Cross Blue Shield of Michigan Mutual Insurance Company DentaTrust/DentaSpan UnitedHealthcare	Non-Participating Provider	NO
1861416224	PIERO ANGELO POLICICCHIO (Individual)	933 BUTTERNUT DR HOLLAND, MI 49424 (616) 399-0288		Non-Participating Provider	NO
1861615858	GREGORY J OPPENHUIZEN (Individual)	3300 BEELINE RD HOLLAND, MI 49424 (616) 392-1435	Delta Dental of Michigan	Non-Participating Provider	NO
1871320135	PRO DENTAL MI 1 PC (Organization)	2279 N PARK DR STE 810 HOLLAND, MI 49424 (616) 392-1500		Non-Participating Provider	NO
1881056398	D2 DENTAL OF MICHIGAN, P.C. (Organization)	2279 N PARK DR SUITE 810 HOLLAND, MI 49424 (616) 530-9900	Ambetter from Meridian Ambetter Health Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1881602159	LARRY FRANCIS SMILEY (Individual)	285 JAMES ST HOLLAND, MI 49424 (616) 399-0200		Non-Participating Provider	NO
1891107611	NATHAN B. POEL (Individual)	1180 OTTAWA BEACH RD SUITE E HOLLAND, MI 49424 (616) 399-9530	Guardian	Non-Participating Provider	YES
1891901351	DAVID LEE CHRISTENSEN (Individual)	187 RILEY ST HOLLAND, MI 49424 (616) 399-4490		Non-Participating Provider	NO
1891921854	KALISHA LEONE MORIN (Individual)	545 MICHIGAN AVE HOLLAND, MI 49423 (616) 396-1058	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Paramount Paramount Dental	Non-Participating Provider	YES
1902965247	ARNOLD BAKER (Individual)	12662 RILEY ST SUITE 110 HOLLAND, MI 49424 (616) 399-3946		Non-Participating Provider	NO
1932598802	KAREL VANDERVELDEN (Individual)	31 E 8TH ST STE 330 HOLLAND, MI 49423 (616) 566-8558	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1932638822	JEFFREY THOMAS DEYOUNG (Individual)	601 MICHIGAN AVE STE 200 HOLLAND, MI 49423 (616) 392-2329	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Opted out of Medicare	NO
1942327259	WEST MICHIGAN PEDIATRIC DENTISTRY WEST MICHIGAN PEDATRIC DENTISTRY, LLC (Organization)	845 E. 16TH ST HOLLAND, MI 49423 (616) 392-2381	DentaTrust/DentaSpan	Non-Participating Provider	NO
1942367305	MARK DANIEL BERARD (Individual)	203 WEST 30TH ST HOLLAND, MI 49423 (616) 392-2853	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1942378419	MARK D. BERARD, DDS, PC (Organization)	203 WEST 30TH STREET HOLLAND, MI 49423 (616) 392-2853		Non-Participating Provider	NO
1952384521	MARK JOSEPH LONERGAN (Individual)	601 MICHIGAN AVE SUITE 200 HOLLAND, MI 49423 (616) 392-2329	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Opted out of Medicare	NO
1982628319	KATHLEEN MARY STRATTON (Individual)	890 WASHINGTON AVE SUITE 120 HOLLAND, MI 49423 (616) 355-7009	Delta Dental of Michigan	Non-Participating Provider	YES
1992191415	CAITLYNN ROSE HAAS (Individual)	601 MICHIGAN AVE STE 106 HOLLAND, MI 49423 (616) 392-3717	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	NO
1992431605	CIBOR & BILLINGSLEY DENTAL PLLC (Organization)	1121 OTTAWA BEACH RD STE 100 HOLLAND, MI 49424 (616) 288-4777		Non-Participating Provider	NO
1992987119	JACQUELINE J ANDERSON (Individual)	1121 OTTAWA BEACH ROAD SUITE 100 HOLLAND, MI 49424 (616) 399-9520	Delta Dental of Michigan	Non-Participating Provider	YES

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