Dentist Providers In Little Rock, Arkansas

Search Dentist NPI records in Little Rock, AR

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Little Rock, AR. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 354, of which 132 are registered as organizations and 222 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.

63% Individuals

37% Organizations

19% Female

44% Male

63% Individual Providers (222)37% Medical Organizations (132)19% Female Providers (67)44% Male Providers (155)

Map of Providers

We have mapped the Dentist providers in Little Rock, AR 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 Little Rock, AR
NPI	Name	Address	Insurance	Medicare	PECOS
1003052234	ROBERT E. ANDERSON, DDS, PA (Organization)	1 SAINT VINCENT CIR STE 240 LITTLE ROCK, AR 72205 (501) 664-3900		Non-Participating Provider	NO
1003054776	ROBERT L. TRAMEL, DDS, PLLC (Organization)	1225 BRECKENRIDGE DR SUITE 207 LITTLE ROCK, AR 72205 (501) 224-7135		Non-Participating Provider	NO
1003258245	ARKANSAS PEDIATRIC DENTISTRY (Organization)	5905 W 12TH ST LITTLE ROCK, AR 72204 (501) 350-6416	UnitedHealthcare	Non-Participating Provider	NO
1003589128	A M NGUYEN DDS INC (Organization)	9601 BAPTIST HEALTH DR STE 950 LITTLE ROCK, AR 72205 (501) 224-6333	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee UnitedHealthcare	Non-Participating Provider	NO
1003826314	BRYAN KEITH ANGEL (Individual)	300 S RODNEY PARHAM RD SUITE 3 LITTLE ROCK, AR 72205 (501) 224-4799	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Guardian Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1003973942	SADIA B ZUBAIRI (Individual)	820 N UNIVERSITY AVENUE LITTLE ROCK, AR 72205 (501) 664-1733	Ambetter from Arizona Complete 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 Cigna Healthcare Delta Dental of Arizona Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1013043322	RICHARD L. GORE D.D.S.,P.A. ASAP SMILE CENTER (Organization)	11 OFFICE PARK DR LITTLE ROCK, AR 72211 (501) 225-2929		Non-Participating Provider	NO
1013063221	LEIF THORNTON LORENZ (Individual)	10319 W MARKHAM ST SUITE 600 LITTLE ROCK, AR 72205 (501) 227-6200		Non-Participating Provider	NO
1013127505	BRYAN KEITH ANGEL (Organization)	300 S RODNEY PARHAM RD STE 3 LITTLE ROCK, AR 72205 (501) 224-4799		Non-Participating Provider	NO
1013188176	HUGH F. BURNETT DDS. PA (Organization)	10310 W MARKHAM ST SUITE 300 LITTLE ROCK, AR 72205 (501) 225-1766		Non-Participating Provider	NO
1013959089	HENRY H CHU (Individual)	1 CHILDRENS WAY # 540 LITTLE ROCK, AR 72202 (501) 364-1816	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 Blue Cross and Blue 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 Guardian Humana UnitedHealthcare	Non-Participating Provider	YES
1023136462	SAMUEL M STRONG (Individual)	1415 BRECKENRIDGE DR STE D LITTLE ROCK, AR 72227 (501) 224-2333		Non-Participating Provider	YES
1033346143	VONDRAN ORTHODONTICS (Organization)	4220 N RODNEY PARHAM RD STE 310 LITTLE ROCK, AR 72212 (501) 224-3421		Non-Participating Provider	NO
1033779897	KEVIN NGUYEN LE (Individual)	4220 N RODNEY PARHAM RD LITTLE ROCK, AR 72212 (501) 228-7200	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1043305170	KITCHENS' PEDIATRIC DENTISTRY P.A. (Organization)	10310 W MARKHAM ST SUITE 202 LITTLE ROCK, AR 72205 (501) 223-0822		Non-Participating Provider	NO
1053460790	COURTNEY J DONNER (Individual)	1 CHILDRENS WAY SLOT107 LITTLE ROCK, AR 72202 (501) 364-1100	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Delta Dental of Arkansas	Non-Participating Provider	NO
1053829887	YIN HILDESHEIM, DMD, P.A. (Organization)	10912 COLONEL GLENN RD STE 3500 LITTLE ROCK, AR 72204 (801) 568-6253		Non-Participating Provider	NO
1063519676	HUGH FRANKLIN BURNETT (Individual)	10310 W MARKHAM SUITE 300 LITTLE ROCK, AR 72205 (501) 225-1766	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	YES
1063527042	KIRT SIMMONS (Individual)	800 MARSHALL ST LITTLE ROCK, AR 72202 (501) 364-1816		Non-Participating Provider	NO
1063867604	ADDISON L. WALKER (Individual)	12419 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-8442	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1073662391	SHIRLEY E REID (Individual)	805 N PALM ST LITTLE ROCK, AR 72205 (501) 664-1230		Non-Participating Provider	NO
1073744876	SARAH BUCKALEW SUNDE (Individual)	3024 S. UNIVERSITY LITTLE ROCK, AR 72204 (501) 565-7610	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Octave	Opted out of Medicare	YES
1083628796	KELLEY THOMPSON (Individual)	6226 BASELINE RD LITTLE ROCK, AR 72209 (501) 562-4123	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1083815351	AJAY SURI DDS MS PA SURI ORTHODONTICS (Organization)	36 RAHLING CIR LITTLE ROCK, AR 72223 (501) 821-5859		Non-Participating Provider	NO
1083843544	NAN MONROE BLACK (Individual)	14810 CANTRELL RD STE 150 LITTLE ROCK, AR 72223 (501) 673-3905	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama Ambetter of Tennessee Anthem Blue Cross and Blue Shield Guardian Renaissance Dental	Non-Participating Provider	YES
1093086043	LIZA M LUNDY (Individual)	802 KIRK RD LITTLE ROCK, AR 72223 (501) 448-2386	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093332728	MICHAEL DRAKE (Individual)	9601 BAPTIST HEALTH DR STE 104 LITTLE ROCK, AR 72205 (501) 224-0144	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093980740	SUZANNE KEMP COCO (Individual)	8028 CANTRELL RD LITTLE ROCK, AR 72227 (501) 319-7520		Non-Participating Provider	YES
1093992455	GERALD ANTHONY HOYT (Individual)	301 N SHACKLEFORD RD STE B1 LITTLE ROCK, AR 72211 (501) 227-5155		Non-Participating Provider	NO
1104935782	CHARLES ED KNIGHT (Individual)	9601 LILE DR STE 240 LITTLE ROCK, AR 72205 (501) 224-3008	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	Opted out of Medicare	YES
1114085024	M. GRACE MAPILI EDWARDS (Individual)	16115 SAINT VINCENT WAY STE 110 LITTLE ROCK, AR 72223 (501) 817-3157	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	YES
1114115219	BRYAN C HILLER (Individual)	5100 TALLEY RD STE 100 LITTLE ROCK, AR 72204 (617) 780-7387	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Guardian Health Advantage Humana Octave UnitedHealthcare	Non-Participating Provider	NO
1114117702	AUNDRA LAMOND MURPHY (Individual)	2000 S UNIVERSITY AVE SUITE K LITTLE ROCK, AR 72204 (501) 603-5357		Non-Participating Provider	NO
1114436987	WILLIAM KNIGHT DDS KNIGHT DENTAL CARE (Organization)	209 S STATE ST LITTLE ROCK, AR 72201 (501) 375-0265		Non-Participating Provider	NO
1114479136	ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A MARKHAM FAMILY DENTISTRY (Organization)	5500 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 664-6888	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1124158258	JOHN A DANIEL (Individual)	12419 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-8442	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1124285689	FAITH DENTAL CLINIC (Organization)	8211 GEYER SPRINGS RD LITTLE ROCK, AR 72209 (501) 562-1665	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee UnitedHealthcare	Non-Participating Provider	NO
1124289210	SEAN ZACHARY GORE (Individual)	11 OFFICE PARK DR LITTLE ROCK, AR 72211 (501) 225-2929	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1124434709	BRANDON MANN (Individual)	215 N BOWMAN RD LITTLE ROCK, AR 72211 (501) 246-5186	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1124540828	ERICA JANE PARSONS (Individual)	13500 OTTER CREEK PKWY LITTLE ROCK, AR 72210 (501) 900-8119	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134134703	MARNY L LEMONS-PRINCE (Individual)	1225 BRECKENRIDGE DR SUITE 210 LITTLE ROCK, AR 72205 (501) 225-4644	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1144365446	CHARLES STEVEN MANGAN (Individual)	2011 N VAN BUREN ST LITTLE ROCK, AR 72207 (501) 666-1188	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Guardian Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1144634429	ASHLEY JONES MCMILLAN (Individual)	12501 CANTRELL RD LITTLE ROCK, AR 72223 (501) 526-7619	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1144669672	DR. DAN BALLENGER (Organization)	12 OFFICE PARK DR LITTLE ROCK, AR 72211 (501) 227-7999		Non-Participating Provider	NO
1154015808	NICOLE SANDERS DONALDSON (Individual)	12501 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-3838	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1154214294	ABIGAIL LEE CROW (Individual)	2011 N VAN BUREN ST STE 130 LITTLE ROCK, AR 72207 (501) 666-1188		Non-Participating Provider	NO
1154437788	DAVID EVERETT REYNOLDS (Individual)	9801 STAGECOACH RD LITTLE ROCK, AR 72210 (501) 455-6100	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	NO
1154481109	JAMES E MOORE (Individual)	200 S UNIVERSITY AVE STE 200 LITTLE ROCK, AR 72205 (501) 666-7623	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan 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 of Arkansas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1154542033	CHRISTI WEAVER SHEPARD (Individual)	4200 N RODNEY PARHAM RD., SUITE 200 LITTLE ROCK, AR 72212 (501) 228-4900	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1154789121	MICHAEL L POHLKAMP DDS PA (Organization)	16115 SAINT VINCENT WAY STE 110 LITTLE ROCK, AR 72223 (501) 817-3157	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1164505764	JAMES BRYAN DUNLAP (Individual)	1515 ALDERSGATE RD LITTLE ROCK, AR 72205 (501) 975-1539	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave UnitedHealthcare	Non-Participating Provider	NO
1164732830	LAMONT PARSONS (Individual)	2500 EAST 6TH STREET LITTLE ROCK, AR 72204 (501) 552-4710		Non-Participating Provider	NO
1164884243	JOHN C SCOTT (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 526-7619	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1164928883	SAMUEL CASON (Individual)	9801 STAGECOACH RD LITTLE ROCK, AR 72210 (501) 455-6100	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	NO
1174336176	NATURAL STATE ENDODONTICS (Organization)	5320 HIGHLAND DR STE A LITTLE ROCK, AR 72223 (501) 758-8002		Non-Participating Provider	NO
1174698823	TARA PAPPAS SCALLION (Individual)	3401 ATWOOD RD SUITE D LITTLE ROCK, AR 72206 (501) 888-1197	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1174706725	KITCHENS PEDIATRIC DENTISTRY, PLLC (Organization)	14114 TAYLOR LOOP RD LITTLE ROCK, AR 72223 (501) 868-3331		Non-Participating Provider	NO
1174816706	C. ED KNIGHT, D.D.S., P.A. (Organization)	9601 LILE DR STE 240 LITTLE ROCK, AR 72205 (501) 224-3008		Non-Participating Provider	NO
1174875249	KATHLEEN GOOD EDERLE (Individual)	413 N. UNIVERSITY AVE. LITTLE ROCK, AR 72205 (501) 664-6040	Delta Dental of Arkansas	Opted out of Medicare	YES
1174949622	ARKANSAS PEDIATRIC DENTISTRY (Organization)	5905 W 12TH ST LITTLE ROCK, AR 72204 (501) 812-3109		Non-Participating Provider	NO
1184011611	RICHARD C KEECH, DDS P.A. KEECH FAMILY DENTISTRY (Organization)	7206 F ST LITTLE ROCK, AR 72205 (501) 944-4617		Non-Participating Provider	NO
1184091084	DR. SHIRLEY REID, DDS (Organization)	805 N PALM ST LITTLE ROCK, AR 72205 (501) 664-1230		Non-Participating Provider	NO
1184715807	MARK STEVEN MURPHY (Individual)	8500 W MARKHAM ST STE 100 LITTLE ROCK, AR 72205 (501) 223-9080	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1184759615	JERRY CLIFTON RICHARDSON (Individual)	209 S STATE ST LITTLE ROCK, AR 72201 (501) 375-0265	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
1184838138	GEORGE BIRCHAM MORLEDGE (Individual)	5 OFFICE PARK DRIVE SUITE 104 LITTLE ROCK, AR 72211 (501) 225-8520		Non-Participating Provider	NO
1184951121	ALEX JONES DENTAL PA DANIEL AND JONES ORTHODONTICS (Organization)	12419 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-8442		Non-Participating Provider	NO
1194358507	THOMAS ALEXANDER JONES (Individual)	12419 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-8442	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1194418830	CRYSTAL M VIEGAS (Individual)	12018 CHENAL PKWY LITTLE ROCK, AR 72211 (501) 313-3114	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1194834804	TRACY T WINDHAM (Individual)	5500 WEST MARKHAM ST LITTLE ROCK, AR 72205 (501) 664-6888	Blue Cross and Blue 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
1205071081	JAMES BRYAN DUNLAP D.D.S.P.A. (Organization)	1515 ALDERSGATE RD LITTLE ROCK, AR 72205 (501) 975-1539	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee UnitedHealthcare	Non-Participating Provider	NO
1205588274	ROSETTA SHELBY-CALVIN, DMD, P.A. (Organization)	10912 COLONEL GLENN RD STE 3500 LITTLE ROCK, AR 72204 (877) 297-6743		Non-Participating Provider	NO
1205861713	GILBERT GREGORY CAVER (Individual)	5307 KAVANAUGH BLVD LITTLE ROCK LITTLE ROCK, AR 72207 (501) 666-2801	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1215052071	DENTAL CARE ASSOCIATES OF ARKANSAS (Organization)	4700 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 663-3407		Non-Participating Provider	NO
1215149638	TIMMONS ORTHODONTICS (Organization)	315 N BOWMAN RD STE 5 LITTLE ROCK, AR 72211 (501) 223-3758		Non-Participating Provider	NO
1215229786	MAXILLOFACIAL DIAGNOSTICS, PLLC MAXILLOFACIAL DIAGNOSTICS, PLLC (Organization)	2300 ANDOVER CT SUITE 400 LITTLE ROCK, AR 72227 (501) 319-7520		Non-Participating Provider	NO
1215375407	ENDODONTIC ASSOCIATES (Organization)	1225 BRECKENRIDGE DR STE 203 LITTLE ROCK, AR 72205 (501) 227-7949		Non-Participating Provider	NO
1215443577	CANTRELL FAMILY DENTAL CENTER (Organization)	8116 CANTRELL RD STE C LITTLE ROCK, AR 72227 (501) 227-5100	UnitedHealthcare	Non-Participating Provider	NO
1215463187	SUSHMA DOPPALAPUDI (Individual)	2000 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (937) 825-6652	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1225161995	CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE CARTI (Organization)	4 SAINT VINCENT CIR LITTLE ROCK, AR 72205 (501) 664-8573		Non-Participating Provider	NO
1225466329	STEVE MANGAN DDS, PA (Organization)	5307 KAVANAUGH BLVD LITTLE ROCK, AR 72207 (501) 666-2801		Non-Participating Provider	NO
1225624919	GUARIONEX DECASTRO DMD PA (Organization)	5917 W 12TH ST STE A LITTLE ROCK, AR 72204 (501) 663-3334	UnitedHealthcare	Non-Participating Provider	NO
1245086958	MICHAEL ROBERT SMITH (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 686-8000		Non-Participating Provider	YES
1245370980	OCEAN DENTAL OF ARKANSAS, PC (Organization)	3024 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (501) 565-0606		Non-Participating Provider	NO
1245441526	JONATHAN MICHAEL HART (Individual)	8028 CANTRELL RD LITTLE ROCK, AR 72227 (501) 319-7520	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1245978287	CAROLINE SPAINHOUR MEHAFFY (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 686-8089	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1255415568	LESLIE HALL DICKINSON (Individual)	1111 S BOWMAN RD STE B5 LITTLE ROCK, AR 72211 (501) 223-2900	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1265446165	ARKANSAS PERIODONTAL ASSOCIATES (Organization)	10319 W. MARKHAM ST. SUITE 300 LITTLE ROCK, AR 72205 (501) 224-1122		Non-Participating Provider	NO
1265517213	CHARLES ANDY VONDRAN (Individual)	4220 N RODNEY PARHAM RD SUITE 310 LITTLE ROCK, AR 72212 (501) 224-3421	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1265528400	KENNETH TILMAN PERKINS (Individual)	6020 RANCH DR STE C6 LITTLE ROCK, AR 72223 (501) 868-1300	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina 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 NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of North Carolina Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1265549802	WILLIAM THOMAS HARRIS (Individual)	6800 BASELINE RD LITTLE ROCK, AR 72209 (501) 568-2425	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	NO
1265650873	MARINO ALEA IGLESIAS, DDS CLINICA DENTAL (Organization)	5209 W 65TH ST LITTLE ROCK, AR 72209 (501) 565-7881		Non-Participating Provider	NO
1275582801	STEPHEN W. BOATRIGHT (Individual)	11700 CANTRELL RD SUITE 1 LITTLE ROCK, AR 72223 (501) 221-2628	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1275616922	JAMES A PENNEY (Individual)	13239 CANTRELL ROAD SUITE B LITTLE ROCK, AR 72223 (501) 227-7668	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1275735771	JAY R OWENS JR (Organization)	1123 S UNIVERSITY AVE SUITE 714 LITTLE ROCK, AR 72204 (501) 666-5412		Non-Participating Provider	NO
1285717090	BENETTA F WHITFIELD (Individual)	8500 W MARKHAM ST STE 331 LITTLE ROCK, AR 72205 (501) 224-3131	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1285726976	GARY NATHAN ROLLINS (Individual)	9601 LILE DRIVE STE 950 LITTLE ROCK, AR 72205 (501) 224-6333		Non-Participating Provider	NO
1285729194	DRAKE A HAWKINS (Individual)	12921 CANTRELL RD SUITE# 301 LITTLE ROCK, AR 72223 (501) 224-5511	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1285879056	DALTON JAMES DAILEY, III DDS PA CHENAL DENTAL (Organization)	17200 CHENAL PKWY SUITE 400 LITTLE ROCK, AR 72223 (501) 448-0032		Non-Participating Provider	NO
1295584092	GEOFFREY THOMAS HALVERSEN (Individual)	5 ALLIED DR LITTLE ROCK, AR 72202 (501) 437-8911		Non-Participating Provider	YES
1295862357	JERRY E. BRADLEY (Individual)	1225 BRECKENRIDGE DRIVE SUITE 110 LITTLE ROCK, AR 72205 (501) 225-4644	Blue Cross and Blue 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
1306095534	HATLEY FAMILY DENTISTRY (Organization)	9501 N RODNEY PARHAM RD SUITE 5 LITTLE ROCK, AR 72227 (501) 225-4128		Non-Participating Provider	NO
1306140041	LINDY V BOLLEN (Individual)	4301 W MARKHAM ST # 609 LITTLE ROCK, AR 72205 (501) 686-6863		Non-Participating Provider	NO
1306152434	TED W JOLLEY (Individual)	10319 W MARKHAM ST STE 100 LITTLE ROCK, AR 72205 (501) 227-5567	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1306205976	KATIE G GIBSON (Individual)	16003 CHENAL PKWY LITTLE ROCK, AR 72223 (501) 712-5080	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave UnitedHealthcare	Non-Participating Provider	NO
1306475157	NAKITA RILEY (Individual)	820 N UNIVERSITY AVE LITTLE ROCK, AR 72205 (501) 664-1733	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1306802285	KEITH DAVID STILLWELL (Individual)	4301 W MARKHAM ST SLOT 624 LITTLE ROCK, AR 72205 (501) 686-8086	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
1306853775	JOHN ROBERT SPRAY (Individual)	4815 W MARKHAM ST SLOT 33 LITTLE ROCK, AR 72205 (501) 280-4823		Non-Participating Provider	NO
1306934583	RICHARD THOMAS PHELAN (Individual)	1801 RAHLING RD STE 101 LITTLE ROCK, AR 72223 (501) 224-6535	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1306979125	JOHN HATLEY (Individual)	9501 N RODNEY PARHAM RD LITTLE ROCK, AR 72227 (501) 225-4128	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave	Non-Participating Provider	NO
1316006059	CHESTER F HIGHT (Individual)	523 N UNIVERSITY AVENUE LITTLE ROCK, AR 72205 (501) 664-6366		Non-Participating Provider	NO
1316091390	JASON ERIC TIMMONS (Individual)	315 N BOWMAN SUITE 5 LITTLE ROCK, AR 72211 (501) 223-3758	Anthem Blue Cross and Blue Shield Arkansas 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 Health Advantage Octave	Non-Participating Provider	NO
1316381445	PINNACLE PERIODONTICS PINNACLE PERIODONTICS & DENTAL IMPLANT CENTER (Organization)	1225 BRECKENRIDGE DR #110 LITTLE ROCK, AR 72205 (501) 225-4644		Non-Participating Provider	NO
1316392012	GEORGE E GILLIAN DDS (Organization)	9700 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 225-4470		Non-Participating Provider	NO
1316679095	MACKENZIE RYAN SITZMAN (Individual)	8901 CARTI WAY LITTLE ROCK, AR 72205 (501) 906-3000	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Primewell Health Services of Mississippi	Accepts Medicare	YES
1326170127	WILLIAM A RUSSELL (Individual)	2002 NO UNIVERSITY LITTLE ROCK, AR 72207 (501) 666-2876		Non-Participating Provider	NO
1326487737	BRADLEY RAY CROSSFIELD (Individual)	1001 S BOWMAN ROAD STE 1 LITTLE ROCK, AR 72211 (501) 222-9101	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326517376	ANDREW KINZLER (Individual)	301 N SHACKLEFORD RD STE B1 LITTLE ROCK, AR 72211 (501) 227-5155	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1326577347	ETHAN MICHAEL AKE (Individual)	7924 CANTRELL RD STE B LITTLE ROCK, AR 72227 (501) 225-0113	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1326676602	LAUREN BRENN MARTIN (Individual)	2011 N VAN BUREN ST LITTLE ROCK, AR 72207 (501) 438-0282	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1336156801	RICHARD LLOYD GORE (Individual)	11 OFFICE PARK DR LITTLE ROCK, AR 72211 (501) 225-2929	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 Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1336163542	DONALD PAUL CALLAN (Individual)	10319 W. MARKHAM ST. SUITE 300 LITTLE ROCK, AR 72205 (501) 224-1122	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	YES
1336280601	KATHLEEN GOOD EDERLE DDS PA (Organization)	413 N UNIVERSITY LITTLE ROCK, AR 72205 (501) 664-6040		Non-Participating Provider	NO
1336298066	CLOVIS ANDREW KITCHENS (Individual)	14114 TAYLOR LOOP RD LITTLE ROCK, AR 72223 (501) 868-3331		Non-Participating Provider	NO
1336409333	MIDTOWN DENTAL (Organization)	814 NORTH UNIVERSITY AVE LITTLE ROCK, AR 72205 (501) 664-5555		Non-Participating Provider	NO
1336620020	SMALL BITES SMALL BITES PEDIATRIC DENTISTRY (Organization)	1001 S BOWMAN RD STE 1 LITTLE ROCK, AR 72211 (501) 222-9101	UnitedHealthcare	Non-Participating Provider	NO
1336708254	LOGAN HOBBS KUHN (Individual)	301 N SHACKLEFORD RD STE B1 LITTLE ROCK, AR 72211 (501) 227-5155	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Health Advantage Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1346248572	STEVEN PATTERSON RAY (Individual)	8116 CANTRELL RD LITTLE ROCK, AR 72227 (501) 227-5200	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1346326568	ROBERT L TRAMEL (Individual)	1225 BRECKENRIDGE DR SUITE 207 LITTLE ROCK, AR 72205 (501) 224-7135	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1346441102	FALLON DAVIS, D.D.S. (Organization)	10319 W MARKHAM ST STE 100 LITTLE ROCK, AR 72205 (501) 227-5567		Non-Participating Provider	NO
1346784659	AXPM- WLR DENTAL PLLC ROCK FAMILY DENTAL-WLR (Organization)	8801 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 664-6186	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1356177158	JOHN BATSON OMFS PLLC CAPITOL ORAL SURGERY & IMPLANT CENTER (Organization)	601 W CAPITOL AVE LITTLE ROCK, AR 72201 (501) 904-8282		Non-Participating Provider	NO
1356538656	MATTHEW DAVID CARLISLE (Individual)	1225 BRECKENRIDGE DR SUITE #210 LITTLE ROCK, AR 72205 (501) 225-4644	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1366008781	ARKANSAS MAXILLOFACIAL SURGERY CENTER PLLC (Organization)	5400 HIGHLAND DR LITTLE ROCK, AR 72223 (501) 225-8929	UnitedHealthcare	Non-Participating Provider	NO
1366636748	BRAD BRYAN, DMD, PA SUNNYBROOK DENTISTRY (Organization)	2000 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (770) 916-9000	UnitedHealthcare	Non-Participating Provider	NO
1366879249	KAVANAUGH DENTAL (Organization)	5307 KAVANAUGH BLVD LITTLE ROCK, AR 72207 (501) 666-2801		Non-Participating Provider	NO
1376071498	SUKHMANI SIDHU SCOTT (Individual)	12921 CANTRELL RD STE 301 LITTLE ROCK, AR 72223 (501) 224-5511	Blue Cross and Blue 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
1376237701	ARKANSAS CHILDREN'S MEDICAL GROUP, PLLC (Organization)	1 CHILDRENS WAY LITTLE ROCK, AR 72202 (501) 364-2090		Non-Participating Provider	NO
1386704385	DAVID WILSON WARDLAW (Individual)	8315 CANTRELL ROAD SUITE 100 LITTLE ROCK, AR 72227 (501) 227-5757	Delta Dental of Arkansas	Non-Participating Provider	NO
1386706224	ANITA L. AEBERSOLD (Individual)	820 N UNIVERSITY AVE LITTLE ROCK, AR 72205 (501) 664-1733	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386714178	WALTER GENE JINES (Individual)	12501 CANTRELL ROAD LITTLE ROCK, AR 72223 (501) 223-3838	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1386849362	CARA JANIQUE JONES (Individual)	5905 W 12TH ST LITTLE ROCK, AR 72204 (501) 812-3109	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave UnitedHealthcare	Non-Participating Provider	NO
1386872075	GRACE M. EDWARDS DMD, PA (Organization)	16115 ST. VINCENT WAY SUITE 110 LITTLE ROCK, AR 72223 (501) 817-3157		Non-Participating Provider	NO
1396189270	PINNACLE PERIODONTICS PINNACLE PERIODONTICS & DENTAL IMPLANT CENTER (Organization)	1225 BRECKENRIDGE DR #110 LITTLE ROCK, AR 72205 (501) 225-4644		Non-Participating Provider	NO
1407211766	JULIA T. GILDON, D.D.S., PA (Organization)	5 VAN CIR LITTLE ROCK, AR 72207 (501) 664-5615		Non-Participating Provider	NO
1407243173	DAVENPORT DENTAL, LLC MARKHAM STREET DENTAL (Organization)	10220 W MARKHAM ST STE 101 LITTLE ROCK, AR 72205 (501) 666-7623	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee UnitedHealthcare	Non-Participating Provider	NO
1407455751	JOHN F. MAJORS, JR., DDS, P.A. (Organization)	10912 COLONEL GLENN RD STE 3500 LITTLE ROCK, AR 72204 (501) 568-6253		Non-Participating Provider	NO
1407869399	ERNEST STANLEY WOODARD (Individual)	11300 CANTRELL RD STE 303 LITTLE ROCK, AR 72212 (501) 228-5700	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Maybe Accepts Medicare	YES
1407923717	GEORGE BRIGHTSON PLATT (Individual)	904 AUTUMN RD STE 450 LITTLE ROCK, AR 72211 (501) 221-3400		Non-Participating Provider	YES
1417300674	KOMAL MEHRA (Individual)	401 S BOWMAN RD LITTLE ROCK, AR 72211 (870) 667-3134	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1417398256	RYAN A MOORE DDS, PLLC (Organization)	8116 CANTRELL RD STE C LITTLE ROCK, AR 72227 (501) 227-5200		Non-Participating Provider	NO
1417486754	JONATHAN BLAINE COVINGTON (Individual)	820 N UNIVERSITY AVE LITTLE ROCK, AR 72205 (501) 664-1733	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1417565482	RACHEL WALTERS SIZEMORE (Individual)	4815 W MARKHAM ST SLOT #18 LITTLE ROCK, AR 72205 (501) 280-4111	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417989112	SCOTT ALAN SCHOEN (Individual)	5400 HIGHLAND DR LITTLE ROCK, AR 72223 (501) 225-8929	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	YES
1427174556	C LEE WYANT (Individual)	16524 CHENAL PKWY LITTLE ROCK, AR 72223 (501) 821-4200		Non-Participating Provider	NO
1427212927	ALAN A SMITH, D.D.S. (Organization)	14000 CANTRELL RD SUITE C LITTLE ROCK, AR 72223 (501) 225-0300		Non-Participating Provider	NO
1427236165	WALKER ORTHODONTICS, INC (Organization)	200 SOUTH UNIVERSITY SUITE 200 LITTLE ROCK, AR 72116 (501) 812-6900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1427287473	THOMPSON & THOMPSON, DDS, PA (Organization)	6226 BASELINE RD LITTLE ROCK, AR 72209 (501) 562-4123		Non-Participating Provider	NO
1437185766	AJAY SURI (Individual)	36 RAHLING CIR LITTLE ROCK, AR 72223 (501) 821-5859	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Health Advantage HMO Louisiana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437414166	MARKHAM STREET DENTAL (Organization)	10220 W MARKHAM ST SUITE 101 LITTLE ROCK, AR 72205 (501) 666-7602		Non-Participating Provider	NO
1437601788	APEX DENTAL PARTNERS PLLC KIDZ CHOICE DENTAL, HELENA FAMILY DENTAL CENTRAL DENTAL (Organization)	1701 CENTERVIEW DR SUITE 114 LITTLE ROCK, AR 72211 (501) 328-5439		Non-Participating Provider	NO
1447318464	LAMAR W LANE (Individual)	3801 WOODLAND HEIGHTS SUITE 175 LITTLE ROCK, AR 72212 (501) 224-1004	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447875729	WARDLAW ORTHODONTICS, P.A. (Organization)	8315 CANTRELL RD STE 100 LITTLE ROCK, AR 72227 (501) 227-5757		Non-Participating Provider	NO
1457377012	TINA H NICHOLS (Individual)	13600 DAVID O. DODD LITTLE ROCK, AR 72210 (501) 312-7576	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1457426991	BILLY RANDALL MACHEN (Individual)	4220 N RODNEY PARHAM RD SUITE 200 LITTLE ROCK, AR 72212 (501) 954-9900	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1457626806	JORDAN A TORTORICH (Individual)	4220 N RODNEY PARHAM RD STE 103 LITTLE ROCK, AR 72212 (501) 224-8332	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	YES
1457679342	DAVID KERNODLE (Individual)	708 E DIXON RD LITTLE ROCK, AR 72206 (877) 227-9892		Non-Participating Provider	NO
1457782377	LUNDY DENTAL PLLC (Organization)	36 RAHLING CIR SUITE 3 LITTLE ROCK, AR 72223 (501) 448-2386	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee UnitedHealthcare	Non-Participating Provider	NO
1467509984	JOHN JUSTUS CLOUD (Individual)	14922 CANTRELL ROAD LITTLE ROCK, AR 72223 (501) 868-3800	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1467533695	WALDA PAULITA LLOYD (Individual)	1 CHILDRENS WAY # 624 LITTLE ROCK, AR 72202 (501) 364-1816	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
1467585281	NAYLA HATLEY (Individual)	9501 N RODNEY PARHAM RD LITTLE ROCK, AR 72227 (501) 225-4128	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1467801233	JOSHUA LUDFORD (Individual)	13600 DAVID O DODD RD LITTLE ROCK, AR 72210 (501) 312-7576	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1467829085	BETHEL BURRIS OLIVER PLLC ARKANSAS DENTISTRY AND BRACES (Organization)	11811 HINSON RD SUITE 100 LITTLE ROCK, AR 72212 (501) 221-0004		Non-Participating Provider	NO
1487031969	JACKIE L. SMITH, DDS, PLLC (Organization)	6315 RANCH DR. LITTLE ROCK, AR 72223 (501) 821-2214		Non-Participating Provider	NO
1487716981	WILLIAM LEE (Individual)	301 N SHACKLEFORD RD LITTLE ROCK, AR 72211 (501) 227-5155	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
1487728432	PAULA J. MARTIN-FLETCHER (Individual)	1415 BRECKENRIDGE DR STE B LITTLE ROCK, AR 72227 (501) 227-6453	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	NO
1487939542	LITTLE ROCK DENTISTRY (Organization)	9601 LILE DR SUITE 950 LITTLE ROCK, AR 72205 (501) 224-6333		Non-Participating Provider	NO
1497310288	LUKE FRUCHEY (Individual)	14810 CANTRELL RD STE 150 LITTLE ROCK, AR 72223 (501) 673-3905	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1497447197	KIRSTAN LEIGH HYSER (Individual)	17200 CHENAL PKWY STE 250 LITTLE ROCK, AR 72223 (501) 448-0032	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1497765903	DALE THOMAS FALLIS (Individual)	10500 W MARKHAM ST STE 104 LITTLE ROCK, AR 72205 (501) 223-2773	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1508114067	AR DENTAL & TMJ - LITTLE ROCK, LLC (Organization)	12018 CHENAL PKWY LITTLE ROCK, AR 72211 (501) 225-1577		Non-Participating Provider	NO
1508271347	ROBERT PRESTON JONES (Individual)	3603 DORAL DR LITTLE ROCK, AR 72212 (501) 225-0228		Opted out of Medicare	YES
1508988585	PHELAN ORTHODONTICS, PA PHELAN ORTHODONTICS (Organization)	1801 RAHLING RD STE 101 LITTLE ROCK, AR 72223 (501) 224-6535		Non-Participating Provider	NO
1518004944	MARINO JAVIER ALEA IGLESIAS (Individual)	5209 W 65TH ST LITTLE ROCK, AR 72209 (501) 565-7881	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	YES
1518029008	BILLY BEASLEY (Individual)	10101 MABELVALE PLAZA DR LITTLE ROCK, AR 72209 (501) 565-3509	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 Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1518372861	RACHEL RENEE MANN (Individual)	4220 RODNEY PARHAM RD SUITE 200 LITTLE ROCK, AR 72212 (501) 954-9900	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1518743210	RACHELLE BROWN DDD PLLC (Organization)	124 W CAPITOL AVE STE 1900 LITTLE ROCK, AR 72201 (801) 430-9262		Non-Participating Provider	NO
1518858919	HAYDEN SANDERS WYNNE (Individual)	8315 CANTRELL RD STE 100 LITTLE ROCK, AR 72227 (501) 227-5757		Non-Participating Provider	NO
1528101672	SAMARIA MASCAGNI (Individual)	13600 DAVID O. DODD LITTLE ROCK, AR 72210 (501) 312-7576	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1538400841	MATTHEW BRIDWELL DDS PA KANIS DENTAL (Organization)	10809 KANIS RD STE 500 LITTLE ROCK, AR 72211 (501) 244-3500	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1538853643	CALEB MATTHEW WINKLER (Individual)	301 N SHACKLEFORD RD LITTLE ROCK, AR 72211 (501) 227-5155	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1548202856	LLOYD F. CHURCH (Individual)	10310 W MARKHAM ST SUITE 301 LITTLE ROCK, AR 72205 (501) 224-7536	Delta Dental of Arkansas	Non-Participating Provider	NO
1548675606	ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A. WOODLAND HEIGHTS FAMILY DENTAL (Organization)	3801 WOODLAND HEIGHTS RD STE 175 LITTLE ROCK, AR 72212 (501) 224-1004	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1548872997	NANCY MAGED SIDAROUS (Individual)	8901 CARTI WAY LITTLE ROCK, AR 72205 (501) 906-3000	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Accepts Medicare	YES
1548941412	HUNTER MORGAN PADDIE (Individual)	6020 RANCH DR STE C8 LITTLE ROCK, AR 72223 (501) 975-1539	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1558531889	ARKANSAS TMJ CENTER LLC (Organization)	500 S UNIVERSITY AVE SUITE 702 LITTLE ROCK, AR 72205 (501) 660-7881		Non-Participating Provider	NO
1568092856	REID FAMILY DENTISTRY PLLC (Organization)	805 N PALM ST LITTLE ROCK, AR 72205 (501) 664-1230		Non-Participating Provider	NO
1568442788	JOHN EDWARD SVENDSEN (Individual)	16101 LAGRANDE DR SUITE 101 LITTLE ROCK, AR 72223 (501) 821-6134	Delta Dental of Arkansas	Non-Participating Provider	NO
1568506723	ROY R JOLLEY (Individual)	5 VAN CIR LITTLE ROCK, AR 72207 (501) 664-5615		Non-Participating Provider	NO
1568590099	JOHN SCOTT SCALLION (Individual)	4220 N RODNEY PARHAM RD LITTLE ROCK, AR 72212 (501) 954-9900	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1568895548	CENTRE @ 10 DENTAL GROUP (Organization)	12921 CANTRELL RD 301 LITTLE ROCK, AR 72223 (501) 224-5511		Non-Participating Provider	NO
1578383808	CROWN DENTAL LLC (Organization)	5917 W 12TH ST STE A LITTLE ROCK, AR 72204 (501) 812-3109		Non-Participating Provider	NO
1578639167	DONALD A DEEMS III DDS PA (Organization)	12921 CANTRELL ROAD SUITE 101 LITTLE ROCK, AR 72223 (501) 664-3279	UnitedHealthcare	Non-Participating Provider	NO
1578655742	JAMES PAUL BURTON (Individual)	8116 CANTRELL RD C LITTLE ROCK, AR 72227 (501) 227-5200	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1588010433	WESLEY DAVID BUCHMAN (Individual)	10319 W MARKHAM ST STE 600 LITTLE ROCK, AR 72205 (501) 227-6200	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1588087993	AUSTIN FAMILY DENTISTY OF LITTLE ROCK (Organization)	11211 CANTRELL RD STE 200 LITTLE ROCK, AR 72212 (501) 223-9489		Non-Participating Provider	NO
1588206098	ALICE ELIZABETH MCCORMICK (Individual)	2000 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (501) 588-7688	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598190142	SAMIR DAVID SULIEMAN (Individual)	301 N SHACKLEFORD RD LITTLE ROCK, AR 72211 (501) 227-5155	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598793705	CHARLES T ROBERTS (Individual)	1215 BRECKENRIDGE DR LITTLE ROCK, AR 72205 (501) 225-9225	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
1598863789	PATRICIA F ZARRUK (Individual)	300 S RODNEY PARHAM RD SUITE 3 LITTLE ROCK, AR 72205 (501) 224-4799	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598920944	CESAR CRUZ, DDS P.A. UNIVERSAL DENTAL CENTER (Organization)	8500 W. MARKHAM ST. SUITE 331 LITTLE ROCK, AR 72205 (501) 224-3131		Non-Participating Provider	NO
1598979817	JIM A. ORSINI (Individual)	5220 STUDER RD LITTLE ROCK, AR 72223 (501) 690-1623	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1609003037	CIMONE RUSH HEISEL (Individual)	1 CHILDRENS WAY # 107 LITTLE ROCK, AR 72202 (501) 680-6553	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1609012921	NED E. ALLEY, DDS, PLLC (Organization)	1225 BRECKENRIDGE DR SUITE 207 LITTLE ROCK, AR 72205 (501) 224-7135		Non-Participating Provider	NO
1609138569	RICHARD C KEECH (Individual)	3024 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (501) 565-0606	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave	Non-Participating Provider	NO
1609565225	ALISSA TOTHEROH WARNER (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 686-8089	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	Non-Participating Provider	YES
1609936418	JOHN F. LANING, D.M.D.,P.A. (Organization)	10319 W MARKHAM ST SUITE 600 LITTLE ROCK, AR 72205 (501) 224-9300		Non-Participating Provider	NO
1629153945	DONALD DEAN COBB (Individual)	6600 BASELINE RD LITTLE ROCK, AR 72209 (501) 565-1574	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1629365192	JENNIFER HOPE HILL (Individual)	11211 CANTRELL SUITE 200 LITTLE ROCK, AR 72212 (501) 223-9489	Blue Cross and Blue 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
1629423777	DANIEL A. LIEBLONG, D.D.S. (Organization)	12822 CRYSTAL VALLEY RD LITTLE ROCK, AR 72210 (501) 562-8273		Non-Participating Provider	NO
1629461884	HD DENTAL, PA DBA SMILE DENTAL SMILE DENTAL (Organization)	14810 CANTRELL RD LITTLE ROCK, AR 72223 (844) 463-5677		Non-Participating Provider	NO
1629584107	RONALD JAY HILL (Individual)	8801 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 664-6186	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1639186984	DAN L BALLENGER (Individual)	12 OFFICE PARK DR LITTLE ROCK, AR 72211 (501) 227-7999	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave Primewell Health Services of Mississippi	Non-Participating Provider	YES
1639636624	UNIVERSITY SMILE CENTER PLLC (Organization)	820 N UNIVERSITY AVE LITTLE ROCK, AR 72205 (501) 664-1733		Non-Participating Provider	NO
1649264433	JOSEPH C. BAKKE (Individual)	1090 ARNOLD DR LITTLE ROCK, AR 77209 (501) 987-7323		Non-Participating Provider	YES
1649591256	BRANDON JEFFREY KITCHENS (Individual)	14114 TAYLOR LOOP RD LITTLE ROCK, AR 72223 (501) 868-3331	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1649632217	ELIZABETH MAURER HEATH (Individual)	12419 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-8442	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 Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1649763723	CHRISTOPHER D CHANDLER (Individual)	11327 ARCADE DR STE D LITTLE ROCK, AR 72212 (501) 225-3977	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1659717478	JOHN DAVID PITTS (Individual)	619 BEECHWOOD ST LITTLE ROCK, AR 72205 (501) 664-7444	Blue Cross and Blue 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
1659922904	HODGE ORTHODONTICS (Organization)	2924 KAVANAUGH BLVD LITTLE ROCK, AR 72205 (501) 916-2545		Non-Participating Provider	NO
1669064713	OZARK PROS LITTLE ROCK (Organization)	8028 CANTRELL RD LITTLE ROCK, AR 72227 (501) 319-7520		Non-Participating Provider	NO
1669098208	DR. JOSEPH M. MAZUREK, INC (Organization)	6500 BASELINE RD LITTLE ROCK, AR 72209 (501) 568-4733		Non-Participating Provider	NO
1669482063	MICHAEL B. ASHCRAFT (Individual)	23 SHACKLEFORD DR SUITE A LITTLE ROCK, AR 72211 (501) 225-3964	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1669677506	STEPHEN DREW BANNERMAN (Individual)	3024 S. UNIVERSITY LITTLE ROCK, AR 72204 (501) 565-0606	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan 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 Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1679003909	JAHON THOMAS ZEHTABAN (Individual)	16524 CHENAL PKWY LITTLE ROCK, AR 72223 (501) 821-4200		Non-Participating Provider	NO
1679636971	SUZANNE K MCGURK (Individual)	12501 CANTRELL ROAD LITTLE ROCK, AR 72223 (501) 223-3838	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
1679711444	ALISSA MEDINA (Individual)	2000 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (501) 603-5357	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1679900138	ARKANSAS MAXILLOFACIAL SURGERY CENTER (Organization)	5400 HIGHLAND DR LITTLE ROCK, AR 72223 (501) 225-8929		Non-Participating Provider	NO
1679912679	RACHEL L BAKER (Individual)	12921 CANTRELL RD SUITE 101 LITTLE ROCK, AR 72223 (501) 664-3279	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1689167272	SARAH KATHERINE KING (Individual)	13600 DAVID O DODD RD LITTLE ROCK, AR 72210 (501) 381-7232	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1689419749	JOSHUA KEITH GAINES (Individual)	2002 N UNIVERSITY AVE LITTLE ROCK, AR 72207 (501) 666-2876		Non-Participating Provider	NO
1689687584	TACY MARIE SUNDELL (Individual)	11300 CANTRELL RD STE 303 LITTLE ROCK, AR 72212 (501) 228-5700	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1689824823	RUSSELL M. DODD, DDS, P.C. (Organization)	10912 COLONEL GLENN RD SUITE 3500 LITTLE ROCK, AR 72204 (501) 568-6253		Non-Participating Provider	NO
1689864498	JULIA TULLOS GILDON (Individual)	5 VAN CIR LITTLE ROCK, AR 72207 (501) 664-5615	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1689898850	KENNETH E PEARSON (Individual)	12921 CANTRELL RD SUITE 200 LITTLE ROCK, AR 72223 (501) 221-1200	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1699785923	BEVANS CHILDREN'S DENTISTRY, P.A. (Organization)	300 S RODNEY PARHAM RD SUITE 3 LITTLE ROCK, AR 72205 (501) 224-4799		Non-Participating Provider	NO
1699786418	RICHARD C MEYER (Individual)	10319 W MARKHAM ST STE. 200 LITTLE ROCK, AR 72205 (501) 227-4848		Non-Participating Provider	NO
1699811539	KEVIN GLEN JONES (Individual)	11600 KANIS RD SUITE 800 LITTLE ROCK, AR 72211 (501) 225-4555	Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Renaissance Dental	Non-Participating Provider	YES
1699845834	EDWARD EARL SHERRILL (Individual)	5326 W MARKHAM ST SUITE #3 LITTLE ROCK, AR 72205 (501) 666-6477	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1699857383	NED E. ALLEY (Individual)	1225 BRECKENRIDGE DR SUITE 207 LITTLE ROCK, AR 72205 (501) 224-7135	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Opted out of Medicare	YES
1700346772	ASHCRAFT ORTHODONTICS PLLC (Organization)	23 SHACKLEFORD DR STE A LITTLE ROCK, AR 72211 (501) 225-3964		Non-Participating Provider	NO
1700974979	JAMES T PHELAN (Individual)	1225 BRECKENRIDGE DR STE 101 LITTLE ROCK, AR 72205 (501) 224-6535	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
1710012273	JOHN RANDALL RHEA (Individual)	805 N PALM ST LITTLE ROCK, AR 72205 (501) 663-6306		Non-Participating Provider	NO
1710019526	WERNER W SCHNEIDER (Individual)	2002 N UNIVERSITY AVE LITTLE ROCK, AR 72207 (501) 666-2876		Non-Participating Provider	NO
1710085907	GREGORY L STAFFORD (Individual)	623 MAIN ST LITTLE ROCK, AR 72201 (501) 374-2929	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1710119136	MEL COLLAZO, DDS, MS, PA (Organization)	11811 HINSON RD STE 100 LITTLE ROCK, AR 72212 (501) 221-0004		Non-Participating Provider	NO
1710361928	AXPM-LITTLE ROCK PEDO PLLC (Organization)	300 S RODNEY PARHAM RD #3 LITTLE ROCK, AR 72205 (501) 781-2777		Non-Participating Provider	NO
1710393517	CHASE CONWAY DIEMER (Individual)	15208 BAUCH LN LITTLE ROCK, AR 72206 (501) 831-1980	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Guardian Health Advantage Humana Octave Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1710597083	THOMPSON & THOMPSON DDS PA (Organization)	6226 BASELINE RD LITTLE ROCK, AR 72209 (501) 562-4123		Non-Participating Provider	NO
1720093479	DANIEL A. LIEBLONG (Individual)	12822 CRYSTAL VALLEY RD LITTLE ROCK, AR 72210 (501) 562-8273	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1720093578	LESLIE V MONROE (Individual)	9601 LILE DR SUITE 104 LITTLE ROCK, AR 72205 (501) 224-0144	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1720182348	WESLEY CHARLES HAMILTON (Individual)	7622 MORRIS DRIVE LITTLE ROCK, AR 72209 (501) 568-5880	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	Opted out of Medicare	YES
1720251424	BROCK WARD BROWN (Individual)	11715 RAINWOOD RD STE A2 LITTLE ROCK, AR 72212 (501) 225-9067	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1720369093	LILLIAM M PRADO DDS FAITH DENTAL CLINIC (Organization)	7301 BASELINE RD LITTLE ROCK, AR 72209 (501) 565-3009		Non-Participating Provider	NO
1720417314	SUMMIT DENTAL, INC. (Organization)	12120 COL GLENN RD SUITE 6600 LITTLE ROCK, AR 72210 (501) 227-0500		Non-Participating Provider	NO
1730255183	BRUCE F MITCHELL (Individual)	500 S UNIVERSITY AVE SUITE 511 LITTLE ROCK, AR 72205 (501) 661-9006		Non-Participating Provider	NO
1730268020	MICHAEL D ZWEIFLER (Individual)	623 MAIN ST LITTLE ROCK, AR 72201 (501) 374-2929	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield 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 Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1730283334	JOSEPH M MAZUREK (Individual)	6500 BASELINE ROAD LITTLE ROCK, AR 72209 (501) 568-4733	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1730296377	HARRIS AND REYNOLDS FAMILY DENTAL (Organization)	9801 STAGECOACH RD LITTLE ROCK, AR 72210 (501) 455-6100		Non-Participating Provider	NO
1730581588	AXPM-WLR, LLC (Organization)	16003 CHANEL PARKWAY LITTLE ROCK, AR 72223 (501) 712-5080		Non-Participating Provider	NO
1730685306	DANA RIGGS BODENNER (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 686-8089	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1730685868	SARAH ELIZABETH HARDIN (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 686-8089	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1730711227	DENTALWAYS OF LITTLE ROCK PLLC (Organization)	1415 BRECKENRIDGE DR STE D LITTLE ROCK, AR 72227 (501) 224-2333		Non-Participating Provider	NO
1730776063	ERICKA MILLER (Individual)	8028 CANTRELL RD LITTLE ROCK, AR 72227 (501) 319-7520	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Opted out of Medicare	YES
1740296631	ROBERT E RICHARDSON (Individual)	9601 LILE DR SUITE 104 LITTLE ROCK, AR 72205 (501) 224-0144	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1740344944	DONALD ARTHUR DEEMS (Individual)	12921 CANTRELL ROAD SUITE 101 LITTLE ROCK, AR 72223 (501) 664-3279	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750499547	GUARIONEX DECASTRO (Individual)	5917 W 12TH ST SUITE A LITTLE ROCK, AR 72204 (501) 663-8307	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750884938	DREW ROBERTS (Individual)	11414 W MARKHAM ST STE A LITTLE ROCK, AR 72211 (501) 404-0529	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1760492953	AMIR HOSSEIN MEHRABI (Individual)	1225 BRECKENRIDGE DR SUITE 203 LITTLE ROCK, AR 72205 (501) 227-7949		Non-Participating Provider	NO
1760646871	LARA KAYE UDOUJ (Individual)	300 S RODNEY PARHAM RD SUITE 3 LITTLE ROCK, AR 72205 (501) 224-5548		Non-Participating Provider	NO
1760843247	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES UAMS DENTAL INPT SVCS (Organization)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 526-7619		Non-Participating Provider	NO
1770928442	DAVID MITCHELL RAINWATER (Individual)	12921 CANTRELL RD STE 301 LITTLE ROCK, AR 72223 (501) 224-5511	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1780034173	KIMBERLY ELIZABETH POLLARD (Individual)	13600 DAVID O DODD RD LITTLE ROCK, AR 72210 (501) 683-8886	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1780086454	OMEGA FAMILY DENTAL (Organization)	14309 CANTRELL RD STE 6 LITTLE ROCK, AR 72223 (501) 228-6360	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1780690065	BOB E. ANDERSON (Individual)	1 SAINT VINCENT CIR #240 LITTLE ROCK, AR 72205 (501) 664-3900	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1780985978	AR DENTAL & TMJ - LITTLE ROCK, LLC (Organization)	12018 CHENAL PKWY LITTLE ROCK, AR 72211 (501) 225-1577		Non-Participating Provider	NO
1790239283	LAUREN DAVID (Individual)	2500 E 6TH ST LITTLE ROCK, AR 72202 (501) 552-4710	Aetna CVS Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan 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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1790356095	CAMELLA CARD (Individual)	13600 DAVID O DODD RD LITTLE ROCK, AR 72210 (501) 312-7576	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1790365427	ARIANNA AMINI COLE (Individual)	802 KIRK RD LITTLE ROCK, AR 72223 (501) 448-2386	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1790848497	DALTON DAILEY (Individual)	17200 CHENAL PKWY STE 250 LITTLE ROCK, AR 72223 (501) 448-0032	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas	Opted out of Medicare	YES
1790918449	COOPER MATONE DENTAL CARE PC (Organization)	708 E DIXON RD LITTLE ROCK, AR 72206 (800) 409-2563		Non-Participating Provider	NO
1801090295	BILLY R MACHEN DDS LITTLE ROCK FAMILY DENTAL CARE (Organization)	4220 N RODNEY PARHAM RD SUITE 200 LITTLE ROCK, AR 72212 (501) 954-9900	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1801328240	JOHN DOUGLAS PATE (Individual)	1001 S BOWMAN RD STE 1 LITTLE ROCK, AR 72211 (501) 222-9101	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1801932173	ERIC SHARKS (Individual)	11312 BASS PRO PKWY SUITE C LITTLE ROCK, AR 72210 (501) 747-1004	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1811008378	ANTHONY L. TORTORICH, DDS, PA (Organization)	4220 N RODNEY PARHAM RD SUITE 103 LITTLE ROCK, AR 72212 (501) 224-8332		Non-Participating Provider	NO
1811321060	DAVID RIDDICK, DDS, P.C. (Organization)	10912 COLONEL GLENN RD SUITE 3500 LITTLE ROCK, AR 72204 (501) 568-6253		Non-Participating Provider	NO
1811626898	TAKIYA JEFFERSON (Individual)	11414 W MARKHAM ST STE A LITTLE ROCK, AR 72211 (501) 404-0529	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821001637	DRS. WOODARD & SUNDELL, DDS, PA (Organization)	11300 CANTRELL RD STE 303 LITTLE ROCK, AR 72212 (501) 228-5700		Non-Participating Provider	NO
1821182577	MONTGOMERY D. HEATHMAN (Individual)	12501 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-3838	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821188087	LONAL C WARREN (Individual)	11601 W MARKHAM ST SUITE C LITTLE ROCK, AR 72211 (501) 224-2274		Non-Participating Provider	NO
1821249087	DOWNTOWN DENTAL CARE (Organization)	623 MAIN ST LITTLE ROCK, AR 72201 (501) 374-2929		Non-Participating Provider	NO
1821567389	CANTRELL DENTAL (Organization)	14923 CANTRELL RD LITTLE ROCK, AR 72223 (501) 690-3468	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee	Non-Participating Provider	NO
1821787599	CHRIS RICHARD EASTBURN (Individual)	13600 DAVID O DODD RD LITTLE ROCK, AR 72210 (501) 312-7576	Delta Dental of Arkansas Florida Combined Life Humana	Non-Participating Provider	NO
1831567189	YIN HILDESHEIM (Individual)	28 BELLA ROSA CT LITTLE ROCK, AR 72223 (501) 366-6972	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1841690633	CANTRELL WEST DENTAL (Organization)	14309 CANTRELL RD STE 6 LITTLE ROCK, AR 72223 (501) 228-6360		Non-Participating Provider	NO
1851311211	W. LINDSAY CLOUD (Individual)	30 RAHLING CIR LITTLE ROCK, AR 72223 (501) 821-3133		Opted out of Medicare	YES
1851311591	R LEE HINSON (Individual)	9007 KANIS RD LITTLE ROCK, AR 72205 (150) 156-5094	Delta Dental of Arkansas	Opted out of Medicare	YES
1851334023	LESLIE PURIFOY COONER (Individual)	10220 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 227-6226	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave	Non-Participating Provider	NO
1851750897	MONTGOMERY HEATHMAN DDS, PA (Organization)	12501 CANTRELL RD LITTLE ROCK, AR 72223 (501) 223-3838		Non-Participating Provider	NO
1861087470	ARKANSAS CHILDRENS HOSPITAL (Organization)	1 CHILDRENS WAY # 664 LITTLE ROCK, AR 72202 (501) 364-2526		Non-Participating Provider	NO
1861198251	SAMUEL L HARRIS (Individual)	2000 S UNIVERSITY AVE STE K LITTLE ROCK, AR 72204 (501) 270-8080		Non-Participating Provider	NO
1861242778	SHELBY LANE SCHULTZ (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 686-8000		Non-Participating Provider	YES
1861508327	WENDELL C THOMPSON (Individual)	10025 W MARKHAM ST SUITE 250 LITTLE ROCK, AR 72205 (501) 224-1299	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1861552937	MEL COLLAZO (Individual)	11811 HINSON RD STE 100 LITTLE ROCK, AR 72212 (501) 221-0004		Non-Participating Provider	NO
1861786774	ST VINCENT MEDICAL GROUP ST VINCENT HEALTH CLINIC EAST (Organization)	2500 E 6TH ST LITTLE ROCK, AR 72202 (501) 552-4710		Non-Participating Provider	NO
1871055939	COLLIN HUNT (Individual)	4301 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 686-8089	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1871610857	KENNETH E PEARSON DDS PA (Organization)	12921 CANTRELL RD SUITE 200 LITTLE ROCK, AR 72223 (501) 221-1200		Non-Participating Provider	NO
1881053361	AXPM SW LITTLE ROCK PEDO, PLLC (Organization)	9100 GEYER SPRINGS RD LITTLE ROCK, AR 72209 (501) 565-0444		Non-Participating Provider	NO
1881715258	NC ANDREWS DMD PA (Organization)	14309 CANTRELL RD STE. 6 LITTLE ROCK, AR 72223 (501) 228-6360		Non-Participating Provider	NO
1881798809	RICHARD CHARLES TATE (Individual)	11327 ARCADE DR SUITE D LITTLE ROCK, AR 72212 (501) 225-3977	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
1891073557	JAMES MICHAEL DAVENPORT (Individual)	10220 W MARKHAM ST SUITE 101 LITTLE ROCK, AR 72205 (501) 666-7623	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891133708	CHRISTOPHER HOUK (Individual)	12 OFFICE PARK DR LITTLE ROCK, AR 72211 (501) 227-7999	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1891716031	JOHN ALLAN SHUFFIELD (Individual)	1512 MACON DR SUITE #2 LITTLE ROCK, AR 72211 (501) 217-0567	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	YES
1891757571	JOHN ROBERT BASS (Individual)	13500 OTTER CREEK PKWY LITTLE ROCK, AR 72210 (501) 455-1766		Non-Participating Provider	NO
1891827895	THOMAS JAMES BUSH (Individual)	1215 BRECKENRIDGE DR LITTLE ROCK, AR 72205 (501) 227-9588	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1902641053	LINDSAY WEN LEE WONG (Individual)	11414 W MARKHAM ST LITTLE ROCK, AR 72211 (501) 404-0529	Arkansas Blue Cross and Blue Shield BEST Life Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1902841364	RICHARDSON & MONROE, DDS, PA (Organization)	9601 LILE DR SUITE 104 LITTLE ROCK, AR 72205 (501) 224-0144		Non-Participating Provider	NO
1902971633	NIKI CARTER (Individual)	4301 W MARKHAM ST # 624 LITTLE ROCK, AR 72205 (501) 526-7619	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1912100322	STEPHEN W. BOATRIGHT, DDS, PA (Organization)	11700 CANTRELL RD SUITE 1 LITTLE ROCK, AR 72223 (501) 221-2628		Non-Participating Provider	NO
1922143262	STEVE MANGAN, D.D.S., P.A. STEVE MANGAN, D.D.S., P.A. (Organization)	2011 N VAN BUREN ST LITTLE ROCK, AR 72207 (501) 666-1188		Non-Participating Provider	NO
1922186899	JOHN FREDERICK LANING (Individual)	10319 W MARKHAM ST SUITE 600 LITTLE ROCK, AR 72205 (501) 224-9300	Blue Cross and Blue 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
1922451822	EMILY KYMER-CHEEK (Individual)	401 S BOWMAN RD LITTLE ROCK, AR 72211 (501) 224-4799	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas 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 Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1922839604	KEIFER ERICH HARTWIG (Individual)	5500 W MARKHAM ST LITTLE ROCK, AR 72205 (501) 664-6888	Delta Dental of Arkansas Florida Combined Life	Non-Participating Provider	NO
1932116167	WILLIAM F GIBSON (Individual)	8116 CANTRELL RD SUITE C LITTLE ROCK, AR 72227 (501) 224-5991	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1932525813	NATALIA HODGE (Individual)	3700 S UNIVERSITY AVE LITTLE ROCK, AR 72204 (501) 712-5070	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1942074224	ALL STAR SMILES (Organization)	11312 BASS PRO PKWY STE C LITTLE ROCK, AR 72210 (501) 747-1004		Non-Participating Provider	NO
1942330618	MAURICE LOUIE ALLRED (Individual)	9 MOHAWK CIR LITTLE ROCK, AR 72207 (501) 804-4973	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas	Non-Participating Provider	NO
1942352596	TOMIE MCCALL (Individual)	721 EAST 21ST STREET LITTLE ROCK, AR 72206 (501) 374-2525		Non-Participating Provider	NO
1942366406	RUSSELL M DODD (Individual)	10912 COLONEL GLENN RD SUITE 3500 LITTLE ROCK, AR 72204 (501) 568-6253	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
1942368220	BRUCE MARTIN MENEES (Individual)	1808 N TAYLOR ST LITTLE ROCK, AR 72207 (501) 664-2217	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	Opted out of Medicare	YES
1942394440	GARY WEISBLY (Individual)	12921 CANTRELL RD. SUITE# 301 LITTLE ROCK, AR 72223 (501) 224-5511	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
1942475504	JOHN D PITTS DDS PA (Organization)	619 BEECHWOOD ST LITTLE ROCK, AR 72205 (501) 664-7444		Non-Participating Provider	NO
1952431868	ARKANSAS FAMILY DENTAL, PA TINA H. NICHOLS, DDS, PA (Organization)	13600 DAVID O. DODD LITTLE ROCK, AR 72210 (501) 312-7576		Non-Participating Provider	NO
1952502601	ANITA L. AEBERSOLD, DDS PA AEBERSOLD FAMILY DENTISTRY (Organization)	820 N. UNIVERSITY AVE LITTLE ROCK, AR 72205 (501) 664-1733		Non-Participating Provider	NO
1952511123	JEFFREY KEVIN GARNER (Individual)	10809 EXECUTIVE CENTER DR SUITE 101 LITTLE ROCK, AR 72211 (501) 227-0112		Non-Participating Provider	NO
1952772584	BETHEL BURRIS OLIVER PLLC ARKANSAS DENTISTRY AND BRACES (Organization)	401 S BOWMAN RD LITTLE ROCK, AR 72211 (479) 445-6335		Non-Participating Provider	NO
1962053389	HODGE ORTHODONTICS WEST PLLC (Organization)	11811 HINSON RD LITTLE ROCK, AR 72212 (501) 221-0004		Non-Participating Provider	NO
1962172940	OTTER CREEK DENTAL , PLLC (Organization)	13500 OTTER CREEK PKWY LITTLE ROCK, AR 72210 (501) 455-1766		Non-Participating Provider	NO
1972038628	MICHAEL ASHCRAFT D.D.S., M.S., P.A. (Organization)	23 SHACKLEFORD DR SUITE A LITTLE ROCK, AR 72211 (501) 225-3964		Non-Participating Provider	NO
1972705473	O. H. MILLER, D.D.S. (Organization)	1123 S UNIVERSITY AVE #714 LITTLE ROCK, AR 72204 (501) 663-5945		Non-Participating Provider	NO
1992042386	INTERDISCIPLINARY DENTAL THERAPY, P.A. (Organization)	9200 CHICOT RD LITTLE ROCK, AR 72209 (501) 562-3029		Non-Participating Provider	NO
1992284863	CHENAL VALLEY DENTAL CENTER PLLC (Organization)	30 RAHLING CIR LITTLE ROCK, AR 72223 (501) 821-3133	UnitedHealthcare	Non-Participating Provider	NO
1992291918	DARRYL K RAGLAND DDS PA (Organization)	11414 W MARKHAM ST STE A LITTLE ROCK, AR 72211 (501) 404-0529		Non-Participating Provider	NO
1992854558	MICHAEL ANTHONY KITCHENS (Individual)	14114 TAYLOR LOOP RD LITTLE ROCK, AR 72223 (501) 868-3331	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave	Non-Participating Provider	NO
1992941553	RICHARD C. MEYER, D.D.S., M.S. (Organization)	10319 W MARKHAM ST STE 200 LITTLE ROCK, AR 72205 (501) 227-4848		Non-Participating Provider	NO

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