Dentist Providers In Katy, Texas

Search Dentist NPI records in Katy, TX

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Katy, TX. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 487, of which 202 are registered as organizations and 285 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

59% Individuals

41% Organizations

27% Female

32% Male

59% Individual Providers (285)41% Medical Organizations (202)27% Female Providers (131)32% Male Providers (154)

Map of Providers

We have mapped the Dentist providers in Katy, TX 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 Katy, TX
NPI	Name	Address	Insurance	Medicare	PECOS
1003042649	LUCY H PARK (Individual)	5303 S MASON RD 2524 KATY, TX 77450 (213) 590-8578	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 Renaissance Dental	Non-Participating Provider	NO
1003231242	LWL DENTAL GROUP, PLLC JUST DENTAL (Organization)	24441 KATY FWY SUITE 200 KATY, TX 77494 (832) 886-4688		Non-Participating Provider	NO
1003475898	IROLO DENTAL SERVICES BRIGHTER DAY DENTAL (Organization)	23021 MORTON RANCH RD C KATY, TX 77449 (832) 930-7775		Non-Participating Provider	NO
1003680257	CHLOE FOLSON (Individual)	20501 KATY FWY STE 104 KATY, TX 77450 (281) 578-0211	Blue Cross and Blue 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 Guardian Renaissance Dental	Non-Participating Provider	NO
1003840786	ALLEN A WALKER DDS PA (Organization)	1796 AVE D STE A KATY, TX 77493 (281) 391-2446		Non-Participating Provider	NO
1013030410	RICARDO MAURO GARZA (Individual)	1150 S MASON RD #102 KATY, TX 77450 (281) 693-3200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1013159300	HIEU Q HUYNH, DDS, PA KATY DENTAL (Organization)	2427 N FRY RD KATY, TX 77449 (281) 599-1755	Aetna CVS Health	Non-Participating Provider	NO
1013752815	GOOD DENTISTRY PLLC (Organization)	2316 S MASON RD KATY, TX 77450 (281) 989-1265		Non-Participating Provider	NO
1023169588	NILAR LAO VARGAS (Individual)	1215 N FRY RD KATY, TX 77449 (281) 398-4106	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1023208451	A-2 DENTISTS, PLLC (Organization)	1025 S. MASON ROAD SUITE B KATY, TX 77450 (281) 398-4500		Non-Participating Provider	NO
1023266020	JOSEPH NGUYEN DDS PC AVALON DENTAL, WILLOWBROOK DENTISTRY (Organization)	6725 S FRY RD STE 600 KATY, TX 77494 (284) 894-4194		Non-Participating Provider	NO
1023408564	ALEXANDER GEIGER (Individual)	23922 CINCO VILLAGE CENTER BLVD STE 111 KATY, TX 77494 (281) 392-1130	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	NO
1023467941	KR&SUNS PLLC SMILE RANGERS DENTAL (Organization)	4747 FM 1463 SUITE 200 KATY, TX 77494 (408) 203-9810	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma DentaQuest USA Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1023486503	PORTRAIT DENTAL PLLC (Organization)	27131 CINCO RANCH BLVD SUITE #250 KATY, TX 77494 (832) 483-4583	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1023608213	MASON DENTISTRY (Organization)	509 S MASON RD STE B KATY, TX 77450 (832) 777-7567		Non-Participating Provider	NO
1023691110	KRIZIA ANABELLE ACOSTA (Individual)	2722 W GRAND PKWY N STE 160 KATY, TX 77449 (832) 437-1110		Non-Participating Provider	NO
1033207972	HARRY DARRELL HAMON (Individual)	830 S MASON RD STE A6 KATY, TX 77450 (281) 392-9251	Guardian	Non-Participating Provider	NO
1033233432	RANDALL W HOLLENBERG (Individual)	830 S MASON RD STE B-2 KATY, TX 77450 (281) 392-3333	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1033242706	ADRIANA MARIA ZAHARIE (Individual)	22762 WESTHEIMER PKWY 500 KATY, TX 77450 (281) 395-2100	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1033570924	KATY DENTAL GROUP, PLLC THE DENTAL PEOPLE (Organization)	1530 W GRAND PKWY S KATY, TX 77494 (617) 817-6449		Non-Participating Provider	NO
1033659420	BESHIR EL-DAHDAH (Individual)	6501 S FRY RD STE 800 KATY, TX 77494 (281) 574-5005	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 Humana Paramount Paramount Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1033673876	DENTAL PROFESSIONALS OF TEXAS, P.A. (Organization)	1796 AVENUE D STE A KATY, TX 77493 (281) 391-2446	Aetna CVS Health	Non-Participating Provider	NO
1033761705	KIMBERLY RUIZ (Individual)	6106 LITTLE STONE CT KATY, TX 77494 (806) 886-8426	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1033844931	LE FAMILY DENTISTRY PLLC (Organization)	3402 TORCHLITE TER STE E KATY, TX 77494 (210) 595-9003	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1043506199	JARED EDWARD WILLIAMS (Individual)	23225 KINGSLAND BLVD., SUITE 300 KATY, TX 77494 (281) 395-0400	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 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 PPO DentaQuest USA Insurance Company Inc. Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1043595275	RONALD K. CRABTREE D.D.S., P.A. CRABTREE DENTAL (Organization)	23056 WESTHEIMER PKWY KATY, TX 77494 (281) 347-1960		Non-Participating Provider	NO
1043726169	DENTAL HEALTH ASSOCIATES OF TEXAS, PC KATY FAMILY DENTISTS (Organization)	21703 KINGSLAND BLVD STE 104 KATY, TX 77450 (281) 398-3432	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1043806177	MILESTONE DENTAL GROUP, PLLC THE DENTAL PEOPLE (Organization)	1530 W GRAND PKWY S KATY, TX 77494 (281) 769-7648	DentaQuest USA Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1053017525	KIMBERLY HOANG (Individual)	23945 FRANZ RD STE A KATY, TX 77493 (832) 437-5895		Non-Participating Provider	NO
1053175208	SIMPLY SMILE DENTAL STUDIO PLLC (Organization)	2300 S MASON RD STE 104 KATY, TX 77450 (281) 394-0999		Non-Participating Provider	NO
1053457382	HARRY I BUSSA (Individual)	23150 WESTHEIMER PKWY KATY, TX 77494 (281) 392-1155		Non-Participating Provider	NO
1053579771	AHMAD ALI MILLWALA (Individual)	6155 FRY RD STE 600 KATY, TX 77449 (281) 667-0607	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 Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1053753053	LORI K HARRELL (Individual)	25900 CINCO RANCH BLVD KATY, TX 77494 (281) 347-1993	Blue Cross and Blue 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
1053762823	KATY CENTER FOR ORAL AND FACIAL SURGERY (Organization)	23922 CINCO VILLAGE CENTER BLVD SUITE 111 KATY, TX 77494 (281) 392-1130		Non-Participating Provider	NO
1063244119	ARLISHA B HICKS, DDS, PLLC (Organization)	24004 PORTER RANCH LN STE A KATY, TX 77493 (713) 510-3022		Non-Participating Provider	NO
1063426872	LEWIS AND ASSOCIATES, DDS, PC SOUTHERN DENTAL ASSOCIATES - KATY (Organization)	1215 N FRY RD KATY, TX 77449 (281) 398-4106		Non-Participating Provider	NO
1063652352	COLIN ANDREW LATHROP (Individual)	5929 FM 1463 RD STE 130 KATY, TX 77494 (832) 437-3849	Guardian	Non-Participating Provider	NO
1063745099	TRI MINH NGUYEN (Individual)	3950 N FRY RD STE 600 KATY, TX 77449 (281) 578-3300	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 Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1063874220	CASPIAN DENTAL CENTER PLLC (Organization)	410 PARK GROVE LN. SUITE A KATY, TX 77450 (281) 222-4546	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 UnitedHealthcare	Non-Participating Provider	NO
1063875433	DENTAL HEALTH ASSOCIATES OF TEXAS, PC WOODCREEK FAMILY DENTAL CARE (Organization)	1417 FM 1463 SUITE 100 KATY, TX 77494 (281) 725-6564		Non-Participating Provider	NO
1073341889	MOHAMMAD HASSAN KHAN (Individual)	3050 FRY RD STE B KATY, TX 77449 (281) 801-8000		Non-Participating Provider	NO
1073622809	HAROLD CHAPMAN STEVENSON (Individual)	2830 COMMERCIAL CENTER BLVD SUITE 101 KATY, TX 77494 (281) 693-1333	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
1083066260	DIANA CAROLINA REYES (Individual)	2731 FM 1463 RD SUITE 500 KATY, TX 77494 (281) 712-6980	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 Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1083366488	MORTON RANCH DENTAL, PLLC (Organization)	2922 N MASON RD # 140 KATY, TX 77449 (917) 621-6912		Non-Participating Provider	NO
1083784847	THOMAS C HARRISON (Individual)	21715 KINGSLAND BLVD SUITE 105 KATY, TX 77450 (281) 492-6064	Blue Cross and Blue 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
1083805303	JIAFANG XIE (Individual)	2944 S MASON RD STE N KATY, TX 77450 (281) 395-5800	Aetna CVS Health 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 PPO Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1083839195	WILLIAM GARRY WALDROP (Individual)	970 S FRY RD KATY, TX 77450 (281) 579-2233		Non-Participating Provider	NO
1083911846	ANDREW KIM (Individual)	2722 W GRAND PKWY N # 200 KATY, TX 77449 (832) 906-3108	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1093719494	HUGO EDUARDO ARTAZA (Individual)	21510 KINGSLAND BLVD. KATY, TX 77450 (281) 492-1985	Aetna CVS Health Humana Renaissance Dental	Non-Participating Provider	NO
1104001445	LEW & ASSOCIATES, PA (Organization)	23922 CINCO VILLAGE CTR BLVD SUITE 100 KATY, TX 77494 (281) 395-1919		Non-Participating Provider	NO
1104026939	CHRISTOPHER D. MORRIS (Individual)	23922 CINCO VILLAGE CENTER BLVD STE 111 KATY, TX 77494 (281) 392-1130	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1104551779	TAMMY LY (Individual)	2004 S MASON RD STE B3 KATY, TX 77450 (832) 222-0016	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 DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1104634179	DENTAL HEALTH ASSOCIATES OF TEXAS, PC (Organization)	29803 JORDAN CROSSING BLVD KATY, TX 77494 (346) 771-5070		Non-Participating Provider	NO
1104822378	STANLEY JAMES SMITH (Individual)	810 S MASON RD STE 215 KATY, TX 77450 (281) 395-2112	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	YES
1114590981	HARIYALI PRAGJIBHAI KASUNDRA (Individual)	349 S MASON RD KATY, TX 77450 (860) 944-7480	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 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134103005	DAT VAN PHAM (Individual)	403 W. GRAND PARKWAY S. SUITE H KATY, TX 77494 (281) 402-8188	Blue Cross and Blue 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	Non-Participating Provider	NO
1134443468	AMITA DAMANI (Individual)	2840 COMMERCIAL CENTER BLVD SUITE 101 KATY, TX 77494 (832) 437-4894	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134736028	IBRAHEEM M AL NAQSHABANDY (Individual)	22911 CLAY RD STE 300 KATY, TX 77449 (405) 532-0716	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 DentaQuest USA Insurance Company Inc. EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1144001389	BING DENTAL PLLC (Organization)	4603 FM 1463 RD STE 100 KATY, TX 77494 (832) 779-3999		Non-Participating Provider	NO
1144390451	PATRICIA MINH TRAN (Individual)	6052 N FRY RD STE H KATY, TX 77449 (281) 463-1010	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	YES
1144585688	KATY SMILE DESIGN, PLLC KATY SMILE DESIGN (Organization)	24207 KINGSLAND BOULEVARD KATY, TX 77494 (281) 396-4366		Non-Participating Provider	NO
1144756719	MAHZAD KOOCHAKI (Individual)	20230 KATY FWY KATY, TX 77449 (281) 717-9115	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company 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
1144772856	WOODCREEK FAMILY DENTISTRY, PLLC (Organization)	2206 KATY-FLEWELLEN RD STE #A KATY, TX 77494 (281) 408-2222		Non-Participating Provider	NO
1144881996	AMANDA LAM (Individual)	349 S MASON RD KATY, TX 77450 (281) 378-3722	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 PPO Humana	Non-Participating Provider	NO
1144890716	JOHN SWARTOUT (Individual)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana	Non-Participating Provider	NO
1144990409	NFRY KATY PLLC GRAND PRIX DENTAL (Organization)	3050 FRY RD KATY, TX 77449 (214) 493-1216	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 UnitedHealthcare	Non-Participating Provider	NO
1154449262	TESS KEATON (Individual)	1821 B FRY ROAD KATY, TX 77449 (281) 646-7774	Guardian	Non-Participating Provider	YES
1154733608	DARLINGTON K EROWELE DDS PC (Organization)	24757 GRAND HARBOR DR 233 KATY, TX 77494 (612) 280-7290		Non-Participating Provider	NO
1154956225	JPTX PLLC (Organization)	3011 WEST GRAND PARKWAY NORTH, SUITE 200 KATY, TX 77449 (832) 409-4949	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 DentaQuest USA Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1164061453	EMAMEFE EWOMAZINO OKINEDO (Individual)	28818 INNES PARK PL KATY, TX 77494 (662) 380-0331	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. 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. UnitedHealthcare	Maybe Accepts Medicare	YES
1164106431	SARAH ELKHODARY (Individual)	1025 S MASON RD KATY, TX 77450 (713) 766-5511	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Delta Dental PPO DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1164122701	TAYLOR JORDAN (Individual)	29803 JORDAN CROSSING BLVD KATY, TX 77494 (346) 771-5070	Aetna CVS Health	Non-Participating Provider	NO
1164195541	RICHARD DIAZ (Individual)	24757 GRAND HARBOR DR APT 514 KATY, TX 77494 (786) 468-4886	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Delta Dental PPO	Non-Participating Provider	NO
1164198818	HUY NGUYEN (Individual)	1215 FRY RD KATY, TX 77449 (281) 395-3555	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 DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1164231759	KATY PARK PEDIATRIC DENTISTRY PLLC (Organization)	23027 MORTON RANCH RD STE T KATY, TX 77449 (281) 462-9188		Non-Participating Provider	NO
1164699369	KIM K FORREST (Individual)	23922 CINCO VILLAGE CTR BLVD SUITE 250 KATY, TX 77494 (281) 392-4571	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1174294045	MINH VAN (Individual)	3820 FRY RD STE 102 KATY, TX 77449 (281) 206-7282		Non-Participating Provider	NO
1174412134	DABNEY HERNANDEZ (Individual)	1998 KATY MILLS BLVD STE D KATY, TX 77494 (832) 437-6477		Non-Participating Provider	NO
1174606867	JAMES O LONG (Individual)	22026 HIGHLAND KNOLLS KATY, TX 77450 (281) 693-6400	Guardian	Non-Participating Provider	NO
1184178972	ADEEL A. KHAN, DMD, PLLC HAPPY CHOMPERS PEDIATRIC DENTISTRY (Organization)	23302 W FERNHURST DRIVE SUITE 200 KATY, TX 77494 (832) 559-2370		Non-Participating Provider	NO
1184239980	DAVID SUN (Individual)	20300 FRANZ RD STE 1 KATY, TX 77449 (713) 298-0818	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
1184714222	MICHAEL F WELLS (Individual)	21715 KINGSLAND BLVD SUITE 105 KATY, TX 77450 (281) 492-6064	Blue Cross and Blue 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
1184854077	JULIA JAVARONE (Individual)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888		Non-Participating Provider	YES
1194183251	KMN DENTAL PC (Organization)	23123 CINCO RANCH BLVD STE 230 KATY, TX 77494 (281) 394-3440		Non-Participating Provider	NO
1194830026	AMY LYNN LUEDEMANN (Individual)	27110 CINCO RANCH BLVD SUITE 900 KATY, TX 77494 (281) 394-7040	Aetna CVS Health 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	Non-Participating Provider	NO
1194995910	CALLAWAY DENTAL, PC (Organization)	1025 S MASON RD STE B KATY, TX 77450 (281) 398-4500	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 Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1205138252	ANGELA ISHAK (Individual)	6940 KATY GASTON RD STE 200 KATY, TX 77494 (281) 271-5100	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 DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1205250891	GAGANDEEP S. KAHLON (Individual)	1997 KATY MILLS BLVD #500 KATY, TX 77494 (713) 457-3445	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 PPO Guardian	Non-Participating Provider	NO
1205255973	DOUK KOOK PLLC DK DENTAL (Organization)	870 S MASON RD STE. 144 KATY, TX 77450 (832) 437-9154		Non-Participating Provider	NO
1205363082	SMILE DOCS ORTHODONTICS, P.C. ELITE ORTHODONTICS (Organization)	24526 KINGSLAND BLVD KATY, TX 77494 (281) 408-4082		Non-Participating Provider	NO
1205453743	DENTAL HEALTH ASSOCIATES OF TEXAS, PC (Organization)	1419 AVENUE D STE 100 KATY, TX 77493 (281) 391-8882	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	Non-Participating Provider	NO
1205467669	TOOTH BASICS PLLC (Organization)	24210 WESTHEIMER PKWY STE 800 KATY, TX 77494 (281) 392-3022	DentaQuest USA Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1215003520	RALPH AVON BROCK (Individual)	22167 WESTHEIMER PKWY SUITE 120 KATY, TX 77450 (281) 829-9000		Non-Participating Provider	NO
1215016944	STEPHANIE TROEGER DDS INC (Organization)	970 S FRY RD KATY, TX 77450 (281) 579-2233		Non-Participating Provider	NO
1215101613	ADVANTAGE DENTISTS ADVANTAGE DENTISTS LLP (Organization)	3719 N FRY RD STE F KATY, TX 77449 (281) 829-5000	Aetna CVS Health	Non-Participating Provider	NO
1215196738	LAURA BARRERA LUKIN (Individual)	22167 WESTHEIMER PKWY STE 110 KATY, TX 77450 (281) 599-8003		Non-Participating Provider	YES
1215240445	STACI ARMAND (Individual)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888	Florida Combined Life Humana	Non-Participating Provider	NO
1215500590	BAILEY ZAUN PROFT (Individual)	2830 COMMERCIAL CENTER BLVD STE 101 KATY, TX 77494 (281) 693-1333	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1215600309	THAO DO (Individual)	1826 BRIDGE GATE LN KATY, TX 77494 (409) 457-7785	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1215773890	SARAH LEE (Individual)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422		Non-Participating Provider	NO
1215948138	DUYEN MY HUYNH (Individual)	22094 WESTHEIMER PKWY KATY, TX 77450 (281) 828-8889	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. 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 Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225359003	LORRAINE VINITHA JACOB (Individual)	5523 FRANZ RD KATY, TX 77493 (281) 769-5499	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1225722895	AYESHA BAIG (Individual)	9722 GASTON RD STE 160 KATY, TX 77494 (309) 694-4444	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1225835366	SUNNY SMILES KATY PLLC (Organization)	20300 FRANZ RD STE 1 KATY, TX 77449 (713) 298-0818		Non-Participating Provider	NO
1225837073	TRUDENT SMILES DENTAL PC (Organization)	2115 N MASON RD SUITE 110 KATY, TX 77449 (281) 676-4123		Non-Participating Provider	NO
1235238221	IVY BASS MITCHAM (Individual)	1575 W GRAND PARKWAY S #1200 KATY, TX 77494 (281) 395-1700		Opted out of Medicare	YES
1235270653	MYOUNG-SOO CHOI (Individual)	25614 OAKTON SPRINGS DR KATY, TX 77494 (615) 397-1375	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235360611	NGUYEN BAO HATHUC (Individual)	462 S MASON RD STE 200 KATY, TX 77450 (281) 395-3555	Aetna CVS Health Delta Dental PPO	Non-Participating Provider	NO
1235392630	LIANA E MEDINA (Individual)	10605 SPRING GREEN BLVD. STE. 300 KATY, TX 77494 (281) 394-9300	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 Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235502287	SOUTHERN DENTAL AT KATY PLLC (Organization)	1215 N FRY RD STE D KATY, TX 77449 (678) 756-5921	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1235543299	MATTHEW SIMMONS (Individual)	24449 KATY FWY # 300 KATY, TX 77494 (281) 394-5441	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245306463	GARRETT ANDREW BETHKE (Individual)	21715 KINGSLAND BLVD SUITE 105 KATY, TX 77450 (281) 492-6064	Blue Cross and Blue 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
1245376805	PAUL ANTHONY PHANG (Individual)	20660 WESTHEIMER PKWY STE K KATY, TX 77450 (281) 579-2600	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245697663	TTOK, PLLC TINY TEETH OF KATY (Organization)	4603 FM 1463 RD SUITE 100 KATY, TX 77494 (281) 665-8544		Non-Participating Provider	NO
1245930957	JANA SAAD (Individual)	5102 FM 1463 RD STE 100 KATY, TX 77494 (281) 204-2156		Non-Participating Provider	NO
1255429106	ARNAUD MARC DE BUYL (Individual)	830 S MASON RD STE A6 KATY, TX 77450 (281) 392-9251	Guardian	Non-Participating Provider	NO
1255587689	DENTAL HEALTH ASSOCIATES OF TEXAS, PC. FALCON POINT DENTAL ASSOCIATES (Organization)	1530 W GRAND PKWY S KATY, TX 77494 (281) 693-7373	Aetna CVS Health	Non-Participating Provider	NO
1255855888	SAHAR GHAMSARI (Individual)	25621 NELSON WAY STE 110 KATY, TX 77494 (281) 392-8222	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 Florida Combined Life Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1265288633	CLAUDIA PATRICIA COBO (Individual)	22672 WESTHEIMER PARKWAY SUITE 500 KATY, TX 77494 (281) 395-2100		Non-Participating Provider	NO
1265779508	GRAND LAKES DENTAL GROUP AND ORTHODONTICS, PC GRAND LAKES DENTAL GROUP AND ORTHODONTICS (Organization)	6501 SOUTH FRY ROAD SUITE 800 KATY, TX 77494 (281) 574-5005	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 Humana	Non-Participating Provider	NO
1265844575	SABA JAMALI (Individual)	6501 S FRY RD STE 800 KATY, TX 77494 (281) 574-5005	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1265926075	BRIAN RYU (Individual)	1325 MAIN STREET 702 KATY, TX 77494 (281) 394-3986	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 DeltaCare USA DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1275819294	AMANDEEP JUDGE (Individual)	2206 KATY FLEWELLEN RD STE A KATY, TX 77494 (281) 408-2222		Non-Participating Provider	NO
1275921736	SEALY DENTISTRY- KATY PLLC (Organization)	2731 FM 1463 SUITE 500 KATY, TX 77494 (502) 254-8506	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 UnitedHealthcare	Non-Participating Provider	NO
1285039339	KATY PERIODONTOLOGY AND ORAL SURGERY PLLC (Organization)	24437 KATY FWY SUITE 500 KATY, TX 77494 (281) 256-8400	Aetna CVS Health	Non-Participating Provider	NO
1285090027	SMILE PROFILE DENTAL OF TEXAS PLLC (Organization)	1997 KATY MILLS BLVD STE 500 KATY, TX 77494 (832) 953-5052		Non-Participating Provider	NO
1285355180	NEY ALBERTO PAREDES SAMPEN (Individual)	23950 FRANZ RD STE 700 KATY, TX 77493 (281) 769-8055	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285357624	TALIN MIRZOYAN KALACH (Individual)	24437 KATY FWY STE 500 KATY, TX 77494 (281) 394-9340	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	YES
1285387498	NICOLE SIRIPON (Individual)	27110 CINCO RANCH BLVD STE 900 KATY, TX 77494 (281) 394-7040	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1285498410	KTX SMILES PLLC (Organization)	2727 SPRING GREEN BLVD STE 104 KATY, TX 77494 (281) 301-5272	UnitedHealthcare	Non-Participating Provider	NO
1285754713	MINHCHAU THOAI NGUYEN (Individual)	3950 FRY RD STE 600 KATY, TX 77449 (281) 578-3300	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 PPO Guardian	Non-Participating Provider	YES
1285899435	DONGMING LIN (Individual)	22400 WESTHEIMER PKWY APT. 709 KATY, TX 77450 (415) 254-5872	Delta Dental PPO	Non-Participating Provider	NO
1295351443	AMRIT PAL SINGH (Individual)	2001 KATY MILLS BLVD STE E KATY, TX 77494 (281) 644-5166	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma 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 DentaQuest USA Insurance Company Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295435998	BANSRI MEHTA (Individual)	3626 MEANDERING SPRING DR KATY, TX 77494 (346) 758-3454		Non-Participating Provider	NO
1295515567	SERGIO DANIEL PICHARDO GRACIA (Individual)	23501 CINCO RANCH BLVD # H120-136 KATY, TX 77494 (832) 224-1119		Non-Participating Provider	NO
1295830537	JULIE WATHEN LONG (Individual)	1575 WEST GRAND PARKWAY #1200 KATY, TX 77494 (281) 395-1700	Blue Cross and Blue 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
1295909943	MARIA CALCINA (Individual)	19214 CLAY RD STE D KATY, TX 77449 (281) 463-4333	Aetna CVS Health 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 Humana Paramount Paramount Dental	Non-Participating Provider	NO
1295951408	ROSS PARKER KENNEDY (Individual)	20065 KATY FREEWAY KATY, TX 77450 (281) 994-5050	Blue Cross and Blue 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
1295963593	CRISTINA ELENA XYDAS (Individual)	2427 N FRY RD KATY, TX 77449 (281) 599-1755	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. Blue Cross and Blue 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1295993244	GLEN R. GINTER, DDS, INC. (Organization)	21830 KINGSLAND BLVD STE104 KATY, TX 77450 (281) 578-7100	Aetna CVS Health	Non-Participating Provider	NO
1306126180	ALLEN JAHANGIRI DDS PLLC (Organization)	6734 WESTHEIMER LAKES NORTH DR STE 103 KATY, TX 77494 (210) 413-5479	UnitedHealthcare	Non-Participating Provider	NO
1306380183	FULSHEAR MODERN DENTISTRY,PC FULSHEAR MODERN DENTISTRY (Organization)	5102 FM 1463 SUITE 100 KATY, TX 77494 (281) 204-2156	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	Non-Participating Provider	NO
1316055411	DEREK BLAKE MCKASKLE (Individual)	22167 WESTHEIMER PKWY SUITE 110 KATY, TX 77450 (281) 599-8003		Non-Participating Provider	YES
1316115983	FOSTER MCARTHUR DENTAL, PC (Organization)	5516 N FRY RD KATY, TX 77449 (281) 859-7777	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	Non-Participating Provider	NO
1316234222	MICHAEL FEI HUANG (Individual)	10605 SPRING GREEN BLVD STE 200 KATY, TX 77494 (281) 394-2933	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	YES
1316284268	CHRISTOPHER MICHAEL PEDLAR (Individual)	1723 MARYVALE DR KATY, TX 77494 (713) 249-1422	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 Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1316294440	PETER CONG NGUYEN (Individual)	6356 S PEEK RD STE 700 KATY, TX 77450 (714) 622-9620	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 DeltaCare USA EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1316328453	VICTORIA SANTIBANEZ (Individual)	5102 FM 1463 RD STE 100 KATY, TX 77494 (281) 204-2156	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 Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1316335441	VITA DENTAL PLLC VITA DENTAL (Organization)	1799 N FRY RD KATY, TX 77449 (609) 271-0278	Aetna CVS Health	Non-Participating Provider	NO
1316485816	BRYAN DENTAL PC (Organization)	27847 HUNTERS ROCK LN KATY, TX 77494 (979) 826-4040	Aetna CVS Health	Non-Participating Provider	NO
1326222530	MOTA DENTAL PC ALPHA DENTAL (Organization)	550 KATY FORT BEND RD SUITE #100 KATY, TX 77494 (281) 574-2460	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1326234832	LOUIS D ANDERSON (Individual)	21685 KINGSLAND BLVD KATY, TX 77450 (281) 578-0008		Non-Participating Provider	NO
1326560400	SABA KHAN (Individual)	9722 GASTON RD STE 160 KATY, TX 77494 (281) 712-4365	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 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
1326636598	MASON DENTAL PLLC (Organization)	870 S MASON RD STE 144 KATY, TX 77450 (281) 232-6610	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1326694092	DEBBIE GAY VAUGHN (Individual)	21902 SUNTREE CIR KATY, TX 77450 (281) 395-4326		Non-Participating Provider	NO
1326839077	SENW DDS PLLC (Organization)	22819 MERCANTILE PKWY STE 101 KATY, TX 77449 (713) 804-5275		Non-Participating Provider	NO
1336466358	ROSCOE T FOUST (Individual)	21715 KINGSLAND BLVD STE 105 KATY, TX 77450 (832) 600-6878	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 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 Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336583657	MADE YA SMILE KATY PLLC (Organization)	6645 SOUTH FRY ROAD STE 1000 KATY, TX 77494 (281) 265-1111	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1336619469	PANAGIOTIS KYTEAS (Individual)	21685 KINGSLAND BLVD KATY, TX 77450 (281) 578-0008	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
1336667633	HESED ORTHODONTICS CORNERSTONE ORTHODONTICS (Organization)	2918 W GRAND PKWY N STE 200 KATY, TX 77449 (615) 397-1375	UnitedHealthcare	Non-Participating Provider	NO
1336693761	LISA LIOU (Individual)	3210 BENTGRASS DR KATY, TX 77450 (832) 677-5866		Non-Participating Provider	NO
1336803113	ZAHRAA AL SAMRAIE (Individual)	24506 FOLKSTONE CIR KATY, TX 77494 (405) 510-9860	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 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
1336957679	GRAND DENTAL PLLC (Organization)	23033 GRAND CIRCLE BLVD STE 110 KATY, TX 77449 (281) 209-5050		Non-Participating Provider	NO
1346343902	DAHLIA E GUZMAN (Individual)	21318 PROVINCIAL BLVD STE 102 KATY, TX 77450 (281) 398-0337	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
1346422730	MANISH DHUTIA (Individual)	21929 HIGHLAND KNOLLS DR KATY, TX 77450 (281) 395-8488	Blue Cross and Blue 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
1346442944	MCKASKLE FAMILY DENTISTRY (Organization)	22167 WESTHEIMER PKWY SUITE 110 KATY, TX 77450 (281) 599-8003		Non-Participating Provider	NO
1346812971	CHAD EDWARD ABRAMS (Individual)	4030 FM 1463 RD KATY, TX 77494 (512) 966-5883		Non-Participating Provider	NO
1356039812	HEATHER NGUYEN (Individual)	3050 FRY RD # B KATY, TX 77449 (281) 801-8000		Non-Participating Provider	NO
1356345102	GEORGE ALBERTO MARQUIS (Individual)	6037 N FRY RD STE 162 KATY, TX 77449 (281) 656-2200	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356350292	TERRY DAVID TREISTMAN (Individual)	23501 CINCO RANCH BLVD STE G225 KATY, TX 77494 (281) 599-7822	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 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 Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356435598	DAVID STAHL BRIGHT (Individual)	810 S MASON RD STE 290 KATY, TX 77450 (281) 599-1555	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356522171	ALIEH H RASTEGARI (Individual)	5516 N FRY RD KATY, TX 77449 (281) 859-7777	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 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 Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356567630	COSMETIC DENTIST OF KATY, P.A (Organization)	929 S MASON RD KATY, TX 77450 (281) 579-6066		Non-Participating Provider	NO
1356881718	TEXAS KIDS DENTIST, PLLC (Organization)	2780 FM 1463 SUITE 203 KATY, TX 77494 (630) 423-6474		Non-Participating Provider	NO
1366052730	GEORGE ANDRES GALAZ (Individual)	24022 CINCO VILLAGE CENTER BLVD STE 200 KATY, TX 77494 (281) 392-9251	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1366561821	MARGARET B. CHILDERS, DDS, PA (Organization)	20919 KINGSLAND BLVD KATY, TX 77450 (281) 578-6661		Non-Participating Provider	NO
1366619710	GARRETT A. BETHKE,D.D.S., INC. (Organization)	21715 KINGSLAND BLVD STE 105 KATY, TX 77450 (281) 492-6064		Non-Participating Provider	NO
1366696890	NURIN JAFFER SAYANI (Individual)	23922 CINCO VILLAGE CENTER BLVD UNIT 100 KATY, TX 77494 (713) 877-0697	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1366802761	NATALIE SUZANNE HUNTER (Individual)	1906 HOLLOW WIND DR KATY, TX 77450 (713) 628-3105	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 Renaissance Dental	Non-Participating Provider	NO
1366839987	GHN DENTAL SMILES FAMILY DENTISTRY (Organization)	4210 MISTY WATERS LANE KATY, TX 77494 (832) 574-7786		Non-Participating Provider	NO
1366869935	ARNAUD M. DE BUYL, D,D,S.,PA (Organization)	24022 CINCO VILLAGE CENTER BLVD STE 200 KATY, TX 77494 (281) 392-9251		Non-Participating Provider	NO
1366934259	VINCENT TZUHSIANG HSU (Individual)	2427 FRY RD KATY, TX 77449 (281) 599-1755	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 DentaQuest USA Insurance Company Inc. EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1366995425	KEYTTIA BEOVIDES BONACHEA (Individual)	6127 FRY RD KATY, TX 77449 (832) 779-8444	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 Blue Cross and Blue 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
1376055384	STELLA DENTAL VK PLLC STELLA DENTAL CARE HK (Organization)	21040 HIGHLAND KNOLLS DRIVE SUITE 100 KATY, TX 77450 (832) 529-4660	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1376160549	INSIYA EZZI (Individual)	21306 WILLOWFORD PARK DR KATY, TX 77450 (813) 777-2407	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas 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
1376189274	SERENITY KATY DENTAL PLLC (Organization)	21927 CLAY RD STE 550 KATY, TX 77449 (281) 310-1417	DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1376216713	JEFFREY MING NG (Individual)	910 S FRY RD KATY, TX 77450 (281) 226-9933	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Blue Cross and Blue 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 Guardian UnitedHealthcare	Non-Participating Provider	NO
1376760033	BELLA DENTAL, PLLC (Organization)	5516 FRY ROAD KATY, TX 77449 (281) 859-7777		Non-Participating Provider	NO
1376849042	KATHERINE PAZMINO (Individual)	20660 WESTHEIMER PKWY STE A KATY, TX 77450 (281) 579-8700	Delta Dental PPO	Non-Participating Provider	NO
1376937219	ELIZABETH HSI (Individual)	2831 WELDONS FOREST DR KATY, TX 77494 (617) 413-1763	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 DentaQuest USA Insurance Company Inc. 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
1386174993	HIEN VU TRAN (Individual)	24441 KATY FWY STE 200 KATY, TX 77494 (281) 394-9988	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 DentaQuest USA Insurance Company Inc. Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386840106	SHAILESH CHAMPAK PATEL (Individual)	25621 NELSON WAY STE 110 KATY, TX 77494 (281) 392-8222	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Paramount Paramount Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1386896322	JEFFREY E FEY (Individual)	1150 S MASON RD SUITE 101 KATY, TX 77450 (281) 693-6300	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1386956514	JOHN SIU (Individual)	1530 W GRAND PKWY S KATY, TX 77494 (281) 769-7648	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396127429	KINGSLAND SLEEP SOLUTIONS (Organization)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 828-2888		Non-Participating Provider	NO
1396179123	RITSCO DENTAL ASSOCIATES, P.C. RITSCO DENTAL ASSOCIATES, P.C. (Organization)	2910 COMMERCIAL CENTER BLVD SUITE 101 KATY, TX 77494 (281) 392-8450		Non-Participating Provider	NO
1396283032	M&G FAMILY DENTISTRY PLLC (Organization)	2015 N MASON RD SUITE 500 KATY, TX 77449 (832) 930-7840	UnitedHealthcare	Non-Participating Provider	NO
1396493615	RICHARD MICHAEL SIU (Individual)	1530 W GRAND PKWY S KATY, TX 77494 (281) 769-7648		Non-Participating Provider	NO
1396576336	AFZAL DENTAL PLLC (Organization)	28047 STOCKDICK SCHOOL RD STE. 200 KATY, TX 77493 (281) 394-4673		Non-Participating Provider	NO
1396875373	CINCO RANCH DENTAL, P. A. (Organization)	1150 S MASON RD STE 101 KATY, TX 77450 (281) 693-6300	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1396958831	JEFFREY CHIN-LEI CHU (Individual)	6840 S MASON RD STE 600 KATY, TX 77450 (323) 215-7998	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana	Non-Participating Provider	NO
1396976502	DAVID GOMEZ (Individual)	2004 S MASON RD # B3 SUITE B3 KATY, TX 77450 (832) 222-0016	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Renaissance Dental	Non-Participating Provider	NO
1407581705	MUSTAFA AL BAYATY (Individual)	21040 HIGHLAND KNOLLS DR STE 100 KATY, TX 77450 (713) 966-6333	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1407605314	MAISON DENTAL PC (Organization)	2115 N MASON RD # 110 KATY, TX 77449 (281) 676-4123		Non-Participating Provider	NO
1417146507	FAMILYKARE DENTAL (Organization)	24210 WESTHEIMER PKWY STE 800 KATY, TX 77494 (281) 392-3022		Non-Participating Provider	NO
1417482779	MICHAEL NGUYEN (Individual)	810 S MASON RD STE 325 KATY, TX 77450 (281) 392-6000		Non-Participating Provider	YES
1417626540	TEXDENT VENTURES PLLC CINCO RANCH FAMILY DENTISTRY (Organization)	22167 WESTHEIMER PKWY STE 110 KATY, TX 77450 (281) 829-7887	Aetna CVS Health	Non-Participating Provider	NO
1427218007	LAUREN COLEMAN SHEPARD (Individual)	28522 BLUE HOLLY LN KATY, TX 77494 (281) 396-4266		Non-Participating Provider	NO
1427436054	NT SMILES LLC HERITAGE DENTAL (Organization)	23945 FRANZ RD STE A KATY, TX 77493 (832) 437-5895	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1427578574	CHRISTOPHER STEWART KIMMEL (Individual)	23225 KINGSLAND BLVD STE 300 KATY, TX 77494 (281) 395-0400	Aetna CVS Health 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 PPO Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1427811090	URBN DENTAL KATY HOLDINGS, PLLC (Organization)	94 W GRAND PKWY S STE 240 KATY, TX 77494 (281) 609-4930		Non-Participating Provider	NO
1437230455	AMY CHRISTINE FILLMAN (Individual)	23108 SEVEN MEADOWS PKWY SUITE 200 KATY, TX 77494 (281) 693-0475	Blue Cross and Blue 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 Guardian Humana	Non-Participating Provider	NO
1437274214	BYRON JOE HALL (Individual)	21703 KINGSLAND BLVD SUITE 104 KATY, TX 77450 (281) 398-3432	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1437372018	CHARLES A RAY (Individual)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422		Non-Participating Provider	NO
1437534047	QUANG NGUYEN (Individual)	5523 FRANZ RD KATY, TX 77493 (281) 769-5499	Blue Cross and Blue 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	Non-Participating Provider	NO
1437538238	KINGSLAND SLEEP SOLUTION (Organization)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888		Non-Participating Provider	NO
1437579158	JAMES BLACKBURN (Individual)	5215 FM 1463 700 KATY, TX 77494 (281) 769-3095	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1437614179	KATY OLIVE DENTAL PLLC (Organization)	23213 RED RIVER DR KATY, TX 77494 (832) 913-3879	Aetna CVS Health	Non-Participating Provider	NO
1437817863	WELCH DENTAL GROUP KATY PLLC (Organization)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112		Non-Participating Provider	NO
1437840329	PRAVASA PLLC (Organization)	5125 PEEK RD KATY, TX 77493 (832) 449-2993		Non-Participating Provider	NO
1447255997	DANIEL JOHN HEARREAN (Individual)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112	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 Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1447411616	ALANNA ARGUELLES (Individual)	1025 S MASON RD KATY, TX 77450 (281) 398-4500		Non-Participating Provider	NO
1447479654	SHG CINCO RANCH, LP KIDSHEALTHYTEETH (Organization)	20660 WESTHEIMER PKWY SUITE A KATY, TX 77450 (281) 579-8700		Non-Participating Provider	NO
1447611678	CROSS CREEK DCTX ASSOCIATES, PLLC CROSS CREEK SMILES (Organization)	5215 FM 1463 RD., SUITE 200 KATY, TX 77494 (281) 693-6911	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	Non-Participating Provider	NO
1447811039	ANTHONY QUOCLUAN NGUYEN (Individual)	3902 FRY RD STE C KATY, TX 77449 (281) 945-4444	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana	Non-Participating Provider	NO
1457240327	DEVISHA GIGA (Individual)	24826 MORTON RANCH RD STE 100 KATY, TX 77493 (281) 205-4470		Non-Participating Provider	NO
1457368151	RALPH A BROCK II DDS, MS, PA BROCK ORTHODONTICS (Organization)	22167 WESTHEIMER PKWY SUITE 120 KATY, TX 77450 (281) 829-9000		Non-Participating Provider	NO
1457529331	JAIBUM KIM (Individual)	2717 COMMERCIAL CENTER BLVD SUITE J220 KATY, TX 77494 (281) 394-2520	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1457743262	QKT ENTERPRISES PLLC (Organization)	7160 BARKER CYPRESS SUITE E KATY, TX 77095 (832) 420-0265		Non-Participating Provider	NO
1467013193	PRERANA SINGH (Individual)	3902 FRY RD STE C KATY, TX 77449 (972) 444-8888	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 DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467748061	SARAH NICOLE OLIM (Individual)	1615 S FRY RD KATY, TX 77450 (281) 492-6546	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	YES
1467820712	CARLTON GEORGE ESTLER D.D.S. PA (Organization)	910 S FRY RD KATY, TX 77450 (281) 579-7222	UnitedHealthcare	Non-Participating Provider	NO
1467851097	ELIZABETH BLAKE SWEARINGEN (Individual)	23922 CINCO VILLAGE CENTER BLVD SUITE 250 KATY, TX 77494 (281) 392-4571	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas CareSource Dominion National EMI Health Florida Combined Life Humana MedMutual Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467892802	ELIZABETH A. CHEN (Individual)	20660 WESTHEIMER PARKWAY #A KATY, TX 77450 (281) 579-8700	Guardian	Non-Participating Provider	NO
1477075174	EVA MINSUN IM (Individual)	21927 CLAY RD STE 550 KATY, TX 77449 (281) 971-2124	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 Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1477175917	MEREDITH ANN WILLIAMS (Individual)	5215 FM 1463 RD STE 700 KATY, TX 77494 (713) 705-0732	Delta Dental PPO	Non-Participating Provider	NO
1477210573	HONG WANG DENTAL GROUP PLLC (Organization)	3815 N. GRAND PKWY WEST, SUITE 200 KATY, TX 77449 (832) 260-2866		Non-Participating Provider	NO
1477540052	TEXAS ORAL AND FACIAL SURGERY (Organization)	810 S MASON RD SUITE 301 KATY, TX 77450 (281) 395-1200	UnitedHealthcare	Non-Participating Provider	NO
1477668192	BRADLEY J. BARKER (Individual)	23501 CINCO RANCH BLVD STE B228 KATY, TX 77494 (281) 391-4200	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana	Non-Participating Provider	NO
1487320537	RINKAL A MAHURE (Individual)	6501 S FRY RD KATY, TX 77494 (281) 574-5005	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 Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1487743944	JOHN CHADWICK CHESSON (Individual)	5131 SOUTH FRY RD STE 800 KATY, TX 77450 (281) 944-4500	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1487833638	KRISTIN VICTORIA ARNOLD (Individual)	9550 SPRING GREEN BLVD, SUITE 140 KATY, TX 77494 (281) 574-2900	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 DeltaCare USA EMI Health Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1497253231	PEGAH MEMAR ARDESTANI (Individual)	3902 N FRY RD STE C KATY, TX 77449 (281) 945-4444	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
1497428932	BRENDA MARIA ALVAREZ (Individual)	2731 FM 1463 RD STE 500 KATY, TX 77494 (281) 656-9340	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1497444749	VILLAGIO DENTAL PLLC (Organization)	22762 WESTHEIMER PKWY STE 500 KATY, TX 77450 (281) 395-2100		Non-Participating Provider	NO
1497750095	WELCH DENTAL GROUP, INC GARY D. WELCH, DDS, INC. (Organization)	23515 KINGSLAND BLVD. KATY, TX 77494 (281) 395-2112		Non-Participating Provider	NO
1497877146	HAMON DEBUYL & ASSOC DDS LLP (Organization)	24022 CINCO VILLAGE CENTER DR SUITE 200 KATY, TX 77494 (281) 392-9251		Non-Participating Provider	NO
1508041138	HEIDI C RITSCO (Individual)	2910 COMMERCIAL CENTER BLVD STE 101 KATY, TX 77494 (281) 392-8450	Blue Cross and Blue 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
1508172057	SHAD B HANIS (Individual)	2830 COMMERCIAL CENTER BLVD STE 101 KATY, TX 77494 (281) 693-1333	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1508679432	SMILE AVENUE FAMILY DENTISTRY CINCO RANCH (Organization)	23541 WESTHEIMER PKWY STE 170 KATY, TX 77494 (281) 394-3988		Non-Participating Provider	NO
1508947532	DAVID JOHN LAING (Individual)	23108 SEVEN MEADOWS PKWY SUITE 200 KATY, TX 77494 (281) 693-0475	Blue Cross and Blue 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 Guardian Humana	Non-Participating Provider	NO
1518026947	ELIZABETH M KELLOGG (Individual)	22720 MORTON RANCH RD STE 100 KATY, TX 77449 (281) 712-4840	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1518222850	TASHA ROSE RUIZ (Individual)	6127 N FRY RD KATY, TX 77449 (281) 550-3795	Blue Cross and Blue 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
1518387554	NISHA MEHTA (Individual)	2780 FM 1463 RD STE 203 KATY, TX 77494 (630) 423-6474	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1518799626	KATY PERIODONTICS MANAGEMENT INC (Organization)	810 S. MASON RD. STE. 325 KATY, TX 77450 (281) 392-6000		Non-Participating Provider	NO
1528124674	LINDA SUE HOANG (Individual)	2840 COMMERCIAL CENTER BLVD STE 102 KATY, TX 77494 (281) 693-2880	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Guardian Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1528229606	LI-LUN WANG (Individual)	5516 N FRY RD KATY, TX 77449 (281) 589-7777	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Blue Cross and Blue 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 Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1528544988	TRINIDAD FAMILY DENTAL PLLC MIRAMAR FAMILY DENTAL CLINIC (Organization)	6127 N FRY RD KATY, TX 77449 (832) 779-8444	DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1528837101	ROUHANI-ACE, PLLC (Organization)	1708 SPRING GREEN BLVD STE 200 KATY, TX 77494 (832) 437-9135		Non-Participating Provider	NO
1538509625	HIEU NGUYEN (Individual)	23945 FRANZ RD STE A KATY, TX 77493 (832) 437-5895	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1538543525	ASSOCIATES FOR DENTAL HEALTH PLLC (Organization)	1998 KATY MILLS BLVD STE D KATY, TX 77494 (281) 738-1579		Non-Participating Provider	NO
1538898291	BABATUNDE MICHAEL BANWO (Individual)	24020 CLAY RD STE 106 KATY, TX 77493 (832) 400-4129	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1548007172	SARA JAWAD (Individual)	2146 MORNING PARK DR KATY, TX 77494 (832) 581-0645	BEST Life Florida Combined Life Humana	Non-Participating Provider	NO
1548350036	DISCOVERY DENTAL (Organization)	3111 N FRY RD SUITE # 300 KATY, TX 77449 (281) 599-7088		Non-Participating Provider	NO
1548482409	ANH DANG NGUYEN (Individual)	3111 N. FRY RD SUITE 300 KATY, TX 77449 (281) 599-7088	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO	Non-Participating Provider	NO
1548558497	AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC (Organization)	23225 KINGSLAND BLVD KATY, TX 77494 (281) 395-0400	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	Non-Participating Provider	NO
1548611635	IDEAL DENTAL OF KATY PLLC (Organization)	2722 W GRAND PKWY N SUITE 200 KATY, TX 77449 (832) 906-3108	Aetna CVS Health Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1548715105	FATEMEH MOHANDES (Individual)	6420 FM 1463 RD STE 200 KATY, TX 77494 (281) 454-3152	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1558074054	MELISSA IRENE HAMMETT YOUNG (Individual)	5102 FM 1463 RD STE 100 KATY, TX 77494 (281) 204-2156	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 DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1558190710	GENT MEMETI (Individual)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112	Delta Dental PPO	Non-Participating Provider	NO
1558250530	AEMIN KIM (Individual)	2004 S MASON RD STE B3 KATY, TX 77450 (832) 222-0016		Non-Participating Provider	NO
1558570945	MARVIN JACK OLIM (Individual)	1615 SOUTH FRY RD KATY, TX 77450 (281) 492-6546		Opted out of Medicare	YES
1558622332	KIDSTOWN DENTAL (Organization)	27110 CINCO RANCH SUITE 900 KATY, TX 77494 (281) 433-1244	Aetna CVS Health	Non-Participating Provider	NO
1558690057	JATINDER PAL SINGH JUDGE (Individual)	2206 KATY FLEWELLEN RD STE A KATY, TX 77494 (281) 408-2222		Non-Participating Provider	NO
1558708735	JOSHUA JIA PENG (Individual)	3011 W GRAND PKWY N STE 200 KATY, TX 77449 (832) 409-4949	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1558809236	TED DENTAL HOUSTON (Organization)	1997 KATY MILLS BLVD STE 400 KATY, TX 77494 (281) 769-2004		Non-Participating Provider	NO
1558937979	IBRAHEEM THABIT HASSOON AL KHAFAJI (Individual)	6501 S FRY RD STE 800 KATY, TX 77494 (708) 717-9213	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 Guardian Humana Paramount Paramount Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568015063	JIMMY D PHO (Individual)	9727 SPRING GREEN BLVD STE 200 KATY, TX 77494 (281) 697-5200	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568196913	KELLY HAN DINH (Individual)	24441 KATY FWY STE 200 KATY, TX 77494 (281) 394-9988	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 DentaQuest USA Insurance Company Inc. EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1568847820	NIKKI KORLOO (Individual)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1568909778	JEFF S KEH DMD PLLC KATY FAMILY DENTAL GROUP (Organization)	23530 KINGSLAND BLVD STE 120 KATY, TX 77494 (281) 396-4635		Non-Participating Provider	NO
1568910990	USMAN ZAFAR (Individual)	20919 KINGSLAND BLVD KATY, TX 77450 (713) 999-5328	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
1568941508	MEERAJ DEEPAK PATEL (Individual)	25621 NELSON WAY UNIT 110 KATY, TX 77494 (281) 392-8222	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
1578051884	ARLISHA BULLARD HICKS (Individual)	24004 PORTER RANCH LN STE A4 KATY, TX 77493 (713) 510-3022	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1578267811	ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC ADVANTAGE DENTAL PLUS (Organization)	3719 N FRY RD STE F KATY, TX 77449 (832) 631-9555	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	Non-Participating Provider	NO
1578993689	VARGAS FAMILY DENTISTRY, PLLC (Organization)	2944 S MASON RD SUITE N KATY, TX 77450 (281) 395-5800		Non-Participating Provider	NO
1588222103	KATY MILLS DENTAL, PLLC (Organization)	2001 KATY MILLS BLVD STE E KATY, TX 77494 (516) 395-5376	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1588258727	TRINITY KATY DENTAL PLLC (Organization)	24020 CLAY RD. KATY, TX 77493 (832) 400-4129	Aetna CVS Health	Non-Participating Provider	NO
1588277420	MAIS ALJAIROUDI (Individual)	4931 EVENING MOON LN KATY, TX 77449 (832) 708-6242	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 EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1588303051	SAE-HO CHUN (Individual)	23945 FRANZ RD STE A KATY, TX 77493 (832) 437-5895		Non-Participating Provider	NO
1588862015	TIMOTHY AARON GUTIERREZ (Individual)	21703 KINGSLAND BLVD #104 KATY, TX 77450 (713) 540-8877	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1598323966	SERENITY DENTAL KATY PLLC (Organization)	21927 CLAY RD # 550 KATY, TX 77449 (832) 301-8433		Non-Participating Provider	NO
1598444705	KARA NGUYEN (Individual)	21703 KINGSLAND BLVD STE 104 KATY, TX 77450 (281) 398-3432	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 Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598732166	RONALD K. CRABTREE (Individual)	23056 WESTHEIMER PKWY KATY, TX 77494 (281) 347-1960		Non-Participating Provider	YES
1598757981	GORDON WINDLEY EDWARDS (Individual)	1620 S MASON RD KATY, TX 77450 (281) 693-0253	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 Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1598930562	MELISSA L WILSON (Individual)	23020 HIGHLAND KNOLLS BLVD SUITE B KATY, TX 77494 (281) 693-6427	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1609138460	HAYFFA JAMAL (Individual)	23302 W FERNHURST DR STE 200 KATY, TX 77494 (832) 559-2370	Aetna CVS Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1609200773	HERZOG CINCO RANCH PC FLOSS (Organization)	9727 SPRING GREEN BLVD #200 KATY, TX 77494 (832) 589-0671		Non-Participating Provider	NO
1609271527	AARON EDWARDS (Individual)	21954 KINGSLAND BLVD KATY, TX 77450 (281) 392-2061	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO	Non-Participating Provider	NO
1609392562	BING QING WANG (Individual)	4603 FM 1463 RD STE 100 KATY, TX 77494 (832) 779-3999	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1609418292	IRINA ZALTSGENDLER DDS, PLLC (Organization)	1620 S MASON RD KATY, TX 77450 (281) 693-0253		Non-Participating Provider	NO
1609478361	PRIME DENTAL, PLLC (Organization)	21929 HIGHLAND KNOLLS DR KATY, TX 77450 (832) 831-1361	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma DentaQuest USA Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1619017233	JEFF SHENG-KO KEH (Individual)	23530 KINGSLAND BLVD SUITE 120 KATY, TX 77494 (281) 396-4635	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1619045044	MICHAEL R MCCULLOCH DDS PC (Organization)	23020 HIGHLAND KNOLLS #B KATY, TX 77494 (281) 693-6427	UnitedHealthcare	Non-Participating Provider	NO
1619339983	PASHA SANDERS (Individual)	6155 FRY RD STE 600 KATY, TX 77449 (281) 972-3822	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 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	YES
1619374519	QUANTUM DENTAL II, PLLC (Organization)	1989 N FRY RD # A1 KATY, TX 77449 (281) 717-8199		Non-Participating Provider	NO
1619499894	MICHELLE BOECKER (Individual)	23020 HIGHLAND KNOLLS BLVD STE B KATY, TX 77494 (281) 503-4068	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1619510203	KATY DENTAL ARTS, PLLC (Organization)	23501 CINCO RANCH BLVD STE B228 KATY, TX 77494 (281) 561-5289	UnitedHealthcare	Non-Participating Provider	NO
1619651437	TAN PHAM, DDS, PA KATY DENTAL IMPLANT CENTER (Organization)	3820 FRY RD STE 102 KATY, TX 77449 (281) 206-7282		Non-Participating Provider	NO
1619970167	OMNIPOINT ENTERPRISES, PA CHLOE DENTAL (Organization)	3950 FRY RD STE 600 KATY, TX 77449 (281) 578-3300		Non-Participating Provider	NO
1629127733	HIEU QUANG HUYNH (Individual)	2427 N FRY RD KATY, TX 77449 (281) 599-1755	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1629186408	BRAYDON H KRATZ (Individual)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422		Non-Participating Provider	NO
1629259213	ADRIANA MARIA ZAHARIE VILLAGIO FAMILY DENTAL (Organization)	22762 WESTHEIMER PKWY 500 KATY, TX 77450 (281) 395-2100		Non-Participating Provider	NO
1629291679	KINGSLAND DENTAL GROUP, P.A. (Organization)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888		Non-Participating Provider	NO
1629310289	SAMUEL A. WINKELMANN (Individual)	23922 CINCO VILLAGE CENTER BLVD SUITE 250 KATY, TX 77494 (281) 392-4571	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	NO
1629334917	KATY MODERN DENTISTRY AND ORTHODONTICS PC KATY MODERN DENTISTRY AND ORTHODONTICS (Organization)	25621 NELSON WAY SUITE 110 KATY, TX 77494 (281) 392-8222	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	Non-Participating Provider	NO
1629423819	WU DENTAL CENTER PLLC DR WU DENTAL CARE (Organization)	5511 BARON RIDGE LN KATY, TX 77494 (210) 332-2172		Non-Participating Provider	NO
1629430939	DCTX KATY ASSOCIATES, PLLC DENTAL CENTER OF TEXAS (Organization)	23922 CINCO VILLAGE CENTER BLVD SUITE 100 KATY, TX 77494 (281) 395-1919	Aetna CVS Health DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1629457973	ALLISON HUNTER (Individual)	1553 S MASON RD KATY, TX 77450 (281) 578-2023		Non-Participating Provider	NO
1629556691	HOUSTON MINT DENTISTRY, PLLC KATY MINT DENTISTRY (Organization)	1443 FM 1463 RD STE 400 KATY, TX 77494 (713) 568-5616		Non-Participating Provider	NO
1629967922	RIHAM HARMOUCH (Individual)	349 S MASON RD KATY, TX 77450 (832) 558-9229		Non-Participating Provider	NO
1639105216	DENTISTRY BY RSE (Organization)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422		Non-Participating Provider	NO
1639505571	AMITA DAMANI DDS, PA PEDIATRIC DENTAL SAFARI (Organization)	2840 COMMERCIAL CENTER BLVD STE 101 KATY, TX 77494 (832) 437-4894	Aetna CVS Health	Non-Participating Provider	NO
1639534852	ELIZABETH A. CHEN DDS, PC KIDS HEALTHY TEETH (Organization)	20660 WESTHEIMER PARKWAY #A KATY, TX 77450 (281) 579-8700		Non-Participating Provider	NO
1639741101	ANDREW T VU (Individual)	22762 WESTHEIMER PKWY STE 500 KATY, TX 77450 (281) 295-2100	Blue Cross and Blue 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
1639861222	PRAVASA PLLC (Organization)	5125 PEEK RD KATY, TX 77493 (832) 488-7187		Non-Participating Provider	NO
1649368002	QUENTIN T ANDREWS (Individual)	20501 KATY FWY SUITE 104 KATY, TX 77450 (281) 578-0211	Guardian	Non-Participating Provider	NO
1649432394	MOIZ HEMANI (Individual)	6734 WESTHEIMER LAKES NORTH DR STE 103 KATY, TX 77494 (281) 394-2929	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649436270	ALI JAHANGIRI (Individual)	6734 WESTHEIMER LAKES NORTH DRIVE SUITE 103 KATY, TX 77494 (281) 394-2929	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1649493222	SHARON K STOLARSKI (Individual)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422		Non-Participating Provider	NO
1649716978	PEDLAR COSMETIC AND FAMILY DENTISTRY PLLC (Organization)	25318 KINGSLAND BLVD KATY, TX 77494 (281) 394-7035		Non-Participating Provider	NO
1659007482	TOAN TRUNG HUYNH (Individual)	2115 N MASON RD SUITE 110 KATY, TX 77449 (281) 676-4123	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Blue Cross and Blue 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 Guardian Renaissance Dental	Non-Participating Provider	NO
1659177434	SPECIALTY ANESTHESIA PARTNERS, PLLC (Organization)	7107 KINGLET CT KATY, TX 77493 (346) 558-5881		Non-Participating Provider	NO
1659526432	CLAY DENTAL, PLLC (Organization)	19214 CLAY RD STE D KATY, TX 77449 (281) 463-4333	Aetna CVS Health DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1669684478	PATRICK WILLIAM DIIORIO (Individual)	5818 4TH ST KATY, TX 77493 (281) 391-3330		Non-Participating Provider	NO
1679094924	DHANANI DENTISTRY PLLC DR TEETH DENTAL CARE (Organization)	5160 FRANZ RD STE 1B KATY, TX 77493 (713) 690-3368	Aetna CVS Health	Non-Participating Provider	NO
1679109516	JARED RICKS (Individual)	23302 W FERNHURST DR # 200 KATY, TX 77494 (832) 559-2370	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Guardian Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1679305437	DENTISTS OF KATY PARK, PC (Organization)	24826 MORTON RANCH RD STE 100 KATY, TX 77493 (281) 205-4470		Non-Participating Provider	NO
1679464192	MAHBOUBEH BELIVAND (Individual)	2004 S MASON RD STE B3 KATY, TX 77450 (832) 222-0016		Non-Participating Provider	NO
1679585756	BENJAMIN TY PO (Individual)	2840 COMMERCIAL CENTER BLVD SUITE 101 KATY, TX 77494 (281) 693-9100	Blue Cross and Blue 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
1679857759	RAJESH AMEEN (Individual)	6127 N FRY RD KATY, TX 77449 (281) 550-3795	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1679978811	ALLEN A WALKER (Individual)	1796 AVENUE D STE A KATY, TX 77493 (281) 391-2446	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1689056566	CINDY H HURD (Individual)	20300 FRANZ RD KATY, TX 77449 (832) 321-4210	Delta Dental PPO Renaissance Dental	Non-Participating Provider	NO
1689178618	NAWAR TAHA DDS PLLC (Organization)	24449 KATY FWY KATY, TX 77494 (832) 359-0620	UnitedHealthcare	Non-Participating Provider	NO
1689779928	THE DENTISTS AT GRAND PARKWAY (Organization)	1575 WEST GRAND PARKWAY #1200 KATY, TX 77494 (281) 395-1700		Non-Participating Provider	NO
1689792970	SHERYL HUNTER GRIFFITH (Individual)	20660 WESTHEIMER PKWY SUITE A KATY, TX 77450 (281) 579-8700	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
1689899650	BRYAN S BERTEAUX (Individual)	23922 CINCO VILLAGE CENTER BLVD SUITE 240 KATY, TX 77494 (281) 371-3636	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1689949000	HEALTHY SMILE DENTAL, PA (Organization)	20300 FRANZ RD SUITE #1 KATY, TX 77449 (832) 321-4210		Non-Participating Provider	NO
1699103689	ANKUR S PATEL (Individual)	2780 FM 1463 RD STE 203 KATY, TX 77494 (312) 834-3368	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1699208132	SOYE DENTAL SPA PLLC (Organization)	20710 WESTHEIMER PKWY SUITE 200 KATY, TX 77450 (281) 206-7289	Aetna CVS Health	Non-Participating Provider	NO
1699296186	RAINISH DHUKA (Individual)	10610 GASTON ROAD SUITE 120 KATY, TX 77494 (821) 371-6368	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
1699470989	JOYOUS SMILES PEDIATRIC DENTISTRY PLLC (Organization)	25031 WESTHEIMER PKWY STE 700 KATY, TX 77494 (832) 278-1243		Non-Participating Provider	NO
1710112651	MINH DUC NGUYEN (Individual)	20680 WESTHEIMER PKWY #50 KATY, TX 77450 (281) 398-3636	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710125679	VALERIA RUIZ MUSETTI (Individual)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888	Humana	Non-Participating Provider	NO
1710257951	RICHARD CONG NGUYEN (Individual)	3907 TRAILSTONE LN KATY, TX 77494 (832) 646-6588		Non-Participating Provider	NO
1710530449	THE DENTISTS AT GRAND PARKWAY, PLLC THE DENTISTS AT GRAND PARKWAY (Organization)	1575 W GRAND PKWY S STE 1200 KATY, TX 77494 (281) 395-1700		Non-Participating Provider	NO
1710679519	FLORENCE TU ANH DANGTRAN (Individual)	25621 NELSON WAY STE 110 KATY, TX 77494 (281) 392-8222	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana	Non-Participating Provider	NO
1710764733	HAIDER KARKOOSH (Individual)	2495 S MASON RD KATY, TX 77450 (713) 584-5960	Anthem Blue Cross and Blue Sheld 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 Paramount Paramount Dental	Non-Participating Provider	YES
1720302516	OSCAR CASTANEDA, D.D.S., M.S., P.A. OSCAR CASTANEDA, D.D.S., M.S., P.A. (Organization)	21434 PROVINCIAL BLVD KATY, TX 77450 (281) 398-4369		Non-Participating Provider	NO
1720381338	LISA C KLIMOWSKI (Individual)	22615 BUCKTROUT LN KATY, TX 77449 (713) 503-7371	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1720543580	GUSTAVO SALAS DDS MS PLLC (Organization)	2720 N MASON RD KATY, TX 77449 (713) 955-2013	Aetna CVS Health	Non-Participating Provider	NO
1720599251	WALK IN DENTAL CLINIC OF KATY (Organization)	20919 KINGSLAND BLVD KATY, TX 77450 (713) 999-5328		Non-Participating Provider	NO
1730370289	ALMA F PAYUMO (Individual)	1215 N FRY RD KATY, TX 77449 (713) 681-7920	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1730502063	MICHAEL YARBROUGH (Individual)	21954 KINGSLAND BLVD KATY, TX 77450 (281) 392-2061	Humana	Opted out of Medicare	YES
1740021153	JONATHAN KUMAR (Individual)	349 S MASON RD KATY, TX 77450 (832) 219-6638		Non-Participating Provider	NO
1740525096	BAR NGUYEN (Individual)	2910 COMMERCIAL CENTER BLVD KATY, TX 77494 (281) 392-8450	Aetna CVS Health Guardian	Non-Participating Provider	NO
1740696806	AARON MARCUS LAIRD (Individual)	23922 CINCO VILLAGE CENTER BLVD #250 KATY, TX 77494 (281) 392-4571	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. 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1740815224	JENNIFER TANG DDS PC (Organization)	2427 FRY RD KATY, TX 77449 (281) 599-1755	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1740868769	FRANK NGUYEN (Individual)	94 W GRAND PKWY S STE 240 KATY, TX 77494 (281) 346-9901	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 DentaQuest Insurance Company Inc- OH Dominion National EMI Health Florida Combined Life Guardian Humana MedMutual Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1740927292	FM DENTISTRY & ORTHODONTICS FM DENTISTRY & ORTHODONTICS (Organization)	6420 FM 1463 RD STE 200 KATY, TX 77494 (281) 454-3152	UnitedHealthcare	Non-Participating Provider	NO
1740970011	WESTPARK DENTISTRY PLLC (Organization)	22911 CLAY RD. SUITE 300 KATY, TX 77449 (281) 712-2288	UnitedHealthcare	Non-Participating Provider	NO
1750088746	HLPTX, PLLC KATY LAKES DENTISTRY (Organization)	23927 FM 529 SUITE 150 KATY, TX 77493 (832) 913-1772	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1750539292	BRIDGET HOLMES TISSUE (Individual)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888	Humana	Non-Participating Provider	NO
1750542726	LINCY KOSHY GEORGE (Individual)	2495 S MASON RD APT 513 KATY, TX 77450 (425) 256-0323	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750657102	KINGSLAND DENTAL GROUP (Organization)	21681 KINGSLAND BLVD KATY, TX 77450 (281) 646-8888		Non-Participating Provider	NO
1750669594	HANUMAN S GADE (Individual)	5160 FRANZ RD STE 1B KATY, TX 77493 (281) 371-3368	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1760156772	BIRAJ PATEL (Individual)	23543 KINGSLAND BLVD # 500 KATY, TX 77494 (281) 665-8445	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1760162432	JANKI PATEL (Individual)	2731 FM 1463 RD STE 500 KATY, TX 77494 (281) 712-6980	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1760203178	TEPEORTHOPEDS PLLC (Organization)	23950 FRANZ RD SUITE 700 KATY, TX 77493 (281) 769-8055		Non-Participating Provider	NO
1760690291	SEJOON SEAN KIM (Individual)	830 S MASON RD A-5 KATY, TX 77450 (281) 392-1130	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1760728489	KP DDS PLLC MAGIC DENTAL TWO (Organization)	6052 N FRY RD SUITE G KATY, TX 77449 (832) 659-5623		Non-Participating Provider	NO
1760919690	MORTON RANCH SMILES DENTISTRY, PC MORTON RANCH SMILES DENTISTRY (Organization)	22720 MORTON RANCH RD SUITE 100 KATY, TX 77449 (281) 712-4840	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 Humana	Non-Participating Provider	NO
1770076903	COLBY BLAIR CRABTREE (Individual)	23056 WESTHEIMER PKWY KATY, TX 77494 (281) 347-1960		Non-Participating Provider	NO
1770292500	RADHIKADENTALKATY PLLC (Organization)	2015 N MASON RD STE 500 KATY, TX 77449 (201) 214-5137	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1770298614	KATY ULTRA WHITE DENTAL PC (Organization)	9727 SPRING GREEN BLVD STE 200 KATY, TX 77494 (281) 697-5200		Non-Participating Provider	NO
1770572927	KATY DENTAL (Organization)	2427 N FRY RD KATY, TX 77449 (281) 599-1755		Non-Participating Provider	NO
1770848046	JASON LEE (Individual)	22167 WESTHEIMER PKWY STE 110 KATY, TX 77450 (281) 407-5442	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1780121509	GREATER HOUSTON PEDIATRIC DENTISTRY KATY PLLC (Organization)	2722 W. GRAND PARKWAY NORTH #160 KATY, TX 77493 (713) 464-5437		Non-Participating Provider	NO
1780217141	YOO CARE DENTAL PLLC ELYSON FAMILY DENTAL (Organization)	23015 FM 529 SUITE 400 KATY, TX 77493 (832) 786-1146		Non-Participating Provider	NO
1780494179	RYU ORAL & MAXILLOFACIAL SURGERY PLLC (Organization)	1325 MAIN ST STE 702 KATY, TX 77494 (281) 394-3986		Non-Participating Provider	NO
1780575563	BRIGHT ORTHODONTICS, PA (Organization)	810 S MASON RD STE 290 KATY, TX 77450 (281) 599-1155		Non-Participating Provider	NO
1780893552	JENNIFER RICAFRENTE MATA (Individual)	21830 KINGSLAND BLVD STE 104 KATY, TX 77450 (281) 578-7100	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian	Non-Participating Provider	NO
1780996959	BRENT EUGENE FOSSUM (Individual)	970 S FRY RD KATY, TX 77450 (281) 579-2233	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	NO
1790037893	FRANZ ROAD FAMILY DENTISTRY,PLLC FRANZ ROAD FAMILY DENTAL (Organization)	5523 FRANZ ROAD KATY, TX 77493 (281) 698-7645	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	Non-Participating Provider	NO
1790238103	LAURA A. PULVER, DDS, MS, PLLC (Organization)	23150 WESTHEIMER PKWY KATY, TX 77494 (281) 392-1155		Non-Participating Provider	NO
1790349165	ENDODONTICS & MICROSURGERY CENTER PC (Organization)	23543 KINGSLAND BLVD STE 500 KATY, TX 77494 (281) 655-8445	Aetna CVS Health	Non-Participating Provider	NO
1790410959	HALEY CHRISTIANS (Individual)	1437 FM 1463 RD STE 200 KATY, TX 77494 (281) 599-8003		Non-Participating Provider	NO
1790960367	CAROLINE TUYEN TU (Individual)	1025 S MASON RD KATY, TX 77450 (281) 398-4500	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1801003074	JUSTIN BROCK (Individual)	23922 CINCO VILLAGE CENTER BLVD SUITE 111 KATY, TX 77494 (281) 392-1130	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1801026273	TITO MOLINA (Individual)	23226 WILLOW CANYON DR KATY, TX 77494 (310) 213-9414	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 Renaissance Dental	Non-Participating Provider	NO
1801458385	JEREMIAH AIGBEDION (Individual)	21784 KATY FWY STE 200 KATY, TX 77449 (832) 930-7741	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1801504626	RHD DENTAL PLLC (Organization)	10610 GASTON ROAD SUITE 120 KATY, TX 77494 (832) 744-7447	Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1801617675	YASENKA GABRIELLA TORRES (Individual)	25102 KINGSLAND BLVD KATY, TX 77494 (281) 665-2848		Non-Participating Provider	NO
1801842281	DOLORES C MORA (Individual)	1421 AVENUE D KATY, TX 77493 (281) 391-8882	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 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 Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811387996	GRAND PARKWAY DENTAL PLLC GRAND PARKWAY SMILES (Organization)	2004 S MASON RD STE B3 KATY, TX 77450 (832) 222-0016		Non-Participating Provider	NO
1811401037	AYANA L CARTWRIGHT DDS PLLC KATY DENTAL LOFT (Organization)	94 W GRAND PARKWAY S SUITE 240 KATY, TX 77494 (281) 402-3351	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 Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1811446644	ANTHONY OLULAJA OLAYIWOLA KOFOWOROLA-KUTI (Individual)	21434 PROVINCIAL BLVD KATY, TX 77450 (281) 398-4369	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 Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811992423	DUC MINH HO (Individual)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112	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 Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1821229659	HEALTHSYNC DENTAL (Organization)	1331 W GRAND PKWY N 145 KATY, TX 77493 (832) 436-0351		Non-Participating Provider	NO
1821292897	STEVENSON ORTHODONTICS, P.A. STEVENSON ORTHODONTICS, P.C. (Organization)	2830 COMMERCIAL CENTER BLVD SUITE 101 KATY, TX 77494 (281) 693-1333		Non-Participating Provider	NO
1821497470	MINA T. RIZK (Individual)	25621 NELSON WAY UNITE 110 KATY, TX 77494 (216) 938-0032	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 TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1821589581	PAYTON CANCHOLA (Individual)	94 W GRAND PKWY S STE 240 KATY, TX 77494 (832) 990-7757	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821676602	AEI DENTAL PLLC (Organization)	24441 KATY FWY STE 200 KATY, TX 77494 (919) 749-0481	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1831287390	CARLTON GEORGE ESTLER (Individual)	910 S FRY RD KATY, TX 77450 (281) 579-7222	Blue Cross and Blue 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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831287929	TIMOTHY MICHAEL HALE (Individual)	810 S MASON RD STE 325 KATY, TX 77450 (281) 392-6000		Non-Participating Provider	YES
1831359579	JENNIFER CHING TANG (Individual)	2427 FRY RD KATY, TX 77449 (281) 599-1755	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 Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1841296480	MARGARET BRADEN CHILDERS (Individual)	20919 KINGSLAND BLVD KATY, TX 77450 (281) 578-6661	Guardian	Non-Participating Provider	NO
1841997103	ARCHANA AMIT AVHALE (Individual)	26735 RICHWOOD OAKS DR KATY, TX 77494 (269) 930-2760	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1851411508	LANGLEY EUGENE HO (Individual)	3950 FRY RD STE 600 KATY, TX 77449 (281) 578-3300	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 PPO Guardian	Non-Participating Provider	YES
1851563183	CINCO RANCH ENDODONTICS (Organization)	23922 CINCO VILLAGE CENTER BLVD SUITE 240 KATY, TX 77494 (281) 371-3636	Aetna CVS Health	Non-Participating Provider	NO
1851616205	ROSHANAK HAGHSHENAS KATYMILLS DENTAL (Organization)	2001 KATY MILLS BLVD STE E KATY, TX 77494 (281) 644-5166		Non-Participating Provider	NO
1851766935	CARUS DENTAL (Organization)	23641 KATY FWY SUITE 200 KATY, TX 77494 (832) 913-1151	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1851890883	MARCEL DENTAL PLLC (Organization)	25757 WESTHEIMER PKWY STE 160 KATY, TX 77494 (832) 437-8340	Aetna CVS Health	Non-Participating Provider	NO
1861061681	CAROLINA CALLE (Individual)	2722 W GRAND PKWY N # 160 KATY, TX 77449 (832) 437-1110	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life BridgeSpan Health Company Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1861155491	MASONPARK DENTAL PLLC (Organization)	21830 KINGSLAND BLVD STE 104A KATY, TX 77450 (281) 578-7100		Non-Participating Provider	NO
1861165383	RABEEA AFZAL (Individual)	28047 STOCKDICK SCHOOL RD 200 KATY, TX 77493 (281) 394-4673	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 Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861498164	WILLIAM JACOB WINTERSTEEN (Individual)	23922 CINCO VILLAGE CTR BLVD STE 111 KATY, TX 77494 (281) 392-1130	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 Guardian Humana	Opted out of Medicare	YES
1861554057	THO HUYNH (Individual)	1998 KATY MILLS BLVD STE D KATY, TX 77494 (832) 437-6477	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 Sheld 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1861615437	JOSEPH C ESTES (Individual)	23855 CINCO RANCH BLVD STE 240 KATY, TX 77494 (281) 391-4422		Non-Participating Provider	NO
1861668170	EDWARD S KIM (Individual)	23021 MORTON RANCH RD STE C KATY, TX 77449 (832) 930-7775	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. 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 DentaQuest USA Insurance Company Inc. Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1861810723	GRAND SMILES (Organization)	403 W GRAND PKWY S STE S SUITE H KATY, TX 77494 (281) 402-8188		Non-Participating Provider	NO
1871028886	KRISTOPHER OROZ DDS, PLLC KATY TRAILS FAMILY DENTISTRY (Organization)	23053 CLAY ROAD SUITE 600 KATY, TX 77493 (281) 665-7206		Non-Participating Provider	NO
1871040824	ANH TUAN PHAM (Individual)	2300 S MASON RD KATY, TX 77450 (281) 879-7749	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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1871603605	MICHAEL L YARBROUGH DDS INC. (Organization)	21954 KINGSLAND BLVD KATY, TX 77450 (281) 392-2061		Non-Participating Provider	NO
1871611434	KEVIN VU (Individual)	1520 S MASON RD STE B KATY, TX 77450 (832) 766-0646	Delta Dental PPO	Non-Participating Provider	NO
1871729186	CAMERON S WALLACE (Individual)	6127 N FRY RD KATY, TX 77449 (281) 550-3795		Non-Participating Provider	YES
1871819334	YIN-YANG ORTHODONTIC MANAGEMENT, LLC DISCOVER ORTHODONTICS (Organization)	6052 N FRY RD STE H KATY, TX 77449 (281) 463-1010	Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1871871954	KRISTOPHER MICHAEL OROZ (Individual)	23053 CLAY RD STE 600 KATY, TX 77493 (281) 665-7206	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 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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1871931063	AGNES T WU (Individual)	21830 KINGSLAND BLVD SUITE 104 KATY, TX 77450 (281) 578-7100	Aetna CVS Health Guardian Humana	Non-Participating Provider	NO
1871977181	GARY D WELCH DDS INC WELCH DENTAL GROUP (Organization)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112		Non-Participating Provider	NO
1881034999	KATHY KO (Individual)	830 S MASON RD KATY, TX 77450 (281) 712-8002	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1881326239	SONALI DEMLA (Individual)	23515 KINGSLAND BLVD KATY, TX 77494 (281) 395-2112	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 Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881457935	PREMIER DENTAL STUDIO AND PEDIATRICS, PLLC (Organization)	6940 KATY GASTON RD STE 200 KATY, TX 77494 (281) 271-5100	UnitedHealthcare	Non-Participating Provider	NO
1881948214	NETWORK PROVIDER ASSOCIATES, P.C. (Organization)	9550 SPRING GREEN BLVD. STE. 410 KATY, TX 77494 (281) 574-2900	Aetna CVS Health Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1891414967	GAURI NARENDRA VELANKIWAR (Individual)	23646 HAWKINS CREEK CT KATY, TX 77494 (346) 247-1325	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891935367	MICHAEL RAY MCCULLOCH (Individual)	23020 HIGHLAND KNOLLS #B KATY, TX 77494 (281) 693-6427	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
1902205727	JOSEPH HOLLAND (Individual)	25318 KINGSLAND BLVD KATY, TX 77494 (409) 718-7857	Guardian	Non-Participating Provider	NO
1902239072	COURTNEY EILEEN BEED (Individual)	22720 MORTON RANCH RD STE 100 KATY, TX 77449 (281) 712-4840	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1912174368	THOMAS C. HARRISON, D.D.S., INC. (Organization)	21715 KINGSLAND BLVD STE 105 KATY, TX 77450 (281) 492-6064		Non-Participating Provider	NO
1912212259	SEVEN MEADOWS DENTAL (Organization)	23108 SEVEN MEADOWS PKWY STE 200 KATY, TX 77494 (281) 693-0475		Non-Participating Provider	NO
1912295940	ADEEL AHMAD KHAN (Individual)	23302 W FERNHURST DRIVE SUITE 200 KATY, TX 77494 (832) 559-2370	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1912762535	PAYTON CANCHOLA DDS PA (Organization)	94 W GRAND PKWY S STE 240 KATY, TX 77494 (281) 832-2278		Non-Participating Provider	NO
1922184761	NETWORK PROVIDER ASSOCIATES, P.C. (Organization)	6127 N FRY RD KATY, TX 77449 (281) 550-3795	Aetna CVS Health	Non-Participating Provider	NO
1922341296	JORGE A MARQUIS DDS PA MARQUIS DENTISTRY (Organization)	6037 N FRY RD SUITE 162 KATY, TX 77449 (281) 656-2200	UnitedHealthcare	Non-Participating Provider	NO
1922362748	CATHERINE RENEE WILDER (Individual)	24207 KINGSLAND BOULEVARD KATY, TX 77494 (281) 396-4366		Non-Participating Provider	NO
1922742691	ANOWO PLLC (Organization)	19214 CLAY RD KATY, TX 77449 (772) 480-0158	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 UnitedHealthcare	Non-Participating Provider	NO
1922825975	DENTAL OFFICE OF KATY, PC (Organization)	22219 FM 529 RD STE 103 KATY, TX 77493 (281) 241-6735	Aetna CVS Health	Non-Participating Provider	NO
1942239629	MARVIN J OLIM DDS & ASSOCIATES PC OLIM & ASSOCIATES (Organization)	1615 SOUTH FRY RD KATY, TX 77450 (281) 492-6546		Non-Participating Provider	NO
1942297510	RAYMOND L WIGGINS (Individual)	810 S MASON RD STE 301 KATY, TX 77450 (281) 395-1200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1942304399	PERRY BRITT NOLEN (Individual)	1530 SOUTH GRAND PARKWAY KATY, TX 77494 (281) 693-7373	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1942627807	NEWGEN DENTAL (Organization)	6725 S FRY RD SUITE 600 KATY, TX 77494 (281) 769-7466		Non-Participating Provider	NO
1942685276	BRAZOS ORAL & MAXILLOFACIAL SURGERY, PLLC (Organization)	10605 SPRING GREEN BLVD SUITE 200 KATY, TX 77494 (281) 394-2933		Non-Participating Provider	NO
1942976428	TRI MINH TRINH (Individual)	23945 FRANZ RD STE A KATY, TX 77493 (832) 437-5895	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma 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 DeltaCare USA Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1952031486	JA DENTAL GROUP PLLC (Organization)	21784 KATY FWY STE 200 KATY, TX 77449 (832) 930-7741	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 DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1952450215	KIM-HUONG T TRAN (Individual)	24210 WESTHEIMER PKWY SUITE 800 KATY, TX 77494 (281) 392-3022	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1952525792	MICHELE BRIGHT (Individual)	21703 KINGSLAND BLVD STE 100 KATY, TX 77450 (832) 321-4633	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1952622318	AMBER CELESTE GARCIA (Individual)	25318 KINGSLAND BLVD KATY, TX 77494 (281) 394-7035		Non-Participating Provider	YES
1952814824	CINCO RANCH SMILES & BRACES PLLC (Organization)	3030 FALCON LANDING BLVD STE 400 KATY, TX 77494 (281) 394-1811		Non-Participating Provider	NO
1962091728	SANDRA RODRIGUEZ DDS PLLC (Organization)	20230 KATY FWY KATY, TX 77449 (281) 717-9116	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 Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1962826172	KATY DENTISTS PA (Organization)	2427 N FRY RD KATY, TX 77449 (281) 599-1755	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1962884908	MULIKAT ADEBIMPE ADETOSOYE (Individual)	20501 KATY FWY STE 124 KATY, TX 77450 (281) 206-7289	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1972028769	JINGRU YAN (Individual)	20501 KATY FWY STE 104 KATY, TX 77450 (281) 578-0211	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 Blue Cross and Blue 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 Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1972094928	SPRING BRANCH COMMUNITY HEALTH CENTER (Organization)	19333 CLAY RD KATY, TX 77449 (713) 462-6565	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter Health Ambetter of Oklahoma	Non-Participating Provider	NO
1972118834	BELEN PATRICIA DIAZ (Individual)	2922 N MASON RD # 140 KATY, TX 77449 (832) 321-5761	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1972141943	BIOMEDENT, INC (Organization)	22136 WESTHEIMER PKWY STE 531 KATY, TX 77450 (281) 646-9700		Non-Participating Provider	NO
1972357853	SMILEOLOGY DENTISTRY PLLC (Organization)	25031 WESTHEIMER PKWY STE 200 KATY, TX 77494 (281) 394-1544		Non-Participating Provider	NO
1972754018	KAVITHA RAPOLU (Individual)	5516 N FRY RD KATY, TX 77449 (281) 859-7777	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 DentaQuest USA Insurance Company Inc. 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
1982206025	DENTAL HEALTH ASSOCIATES OF TEXAS, PC DENTAL CARE AT CROSS CREEK RANCH (Organization)	4906 FM 1463 RD STE 100 KATY, TX 77494 (281) 769-1666	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	Non-Participating Provider	NO
1982727269	RONALD CHRISTOPHER CAMPBELL (Individual)	1150 S MASON RD SUITE 102 KATY, TX 77450 (281) 693-3200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	YES
1982757019	CUONG BA CHU (Individual)	2944 S MASON RD STE E KATY, TX 77450 (281) 693-3330	Aetna CVS Health 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 Paramount Paramount Dental	Non-Participating Provider	YES
1982900270	TEXAS DENTAL ASSOCIATES, PA LOVETT DENTAL (Organization)	1998 KATY MILLS BLVD SUITE D KATY, TX 77494 (713) 490-8880	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1992109664	NKECHI NWAGWU OLUKOYA (Individual)	3719 FRY RD KATY, TX 77449 (832) 631-9555	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1992441554	DENTAL SURGEON & ASSOCIATES, PLLC (Organization)	970 S FRY RD KATY, TX 77450 (281) 579-2233		Non-Participating Provider	NO
1992547327	PINEY POINT ORAL AND MAXILLOFACIAL SURGERY KATY CYPRESS PLLC (Organization)	21800 KATY FWY STE 160 KATY, TX 77449 (832) 353-1100	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1992549638	ANDREW FARRELL (Individual)	22720 MORTON RANCH RD STE 100 KATY, TX 77449 (281) 712-4840	Aetna CVS Health Florida Combined Life Humana	Non-Participating Provider	NO
1992695175	SABA DOLATSHAHI (Individual)	22720 MORTON RANCH RD KATY, TX 77449 (281) 712-4840		Non-Participating Provider	NO
1992806574	GLEN ROBERT GINTER (Individual)	21830 KINGSLAND BLVD STE 104 KATY, TX 77450 (281) 578-7100	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO

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