Dentist Providers In Melbourne, Florida

Search Dentist NPI records in Melbourne, FL

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Melbourne, FL. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 205, of which 59 are registered as organizations and 146 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.

71% Individuals

29% Organizations

24% Female

47% Male

71% Individual Providers (146)29% Medical Organizations (59)24% Female Providers (49)47% Male Providers (97)

Map of Providers

We have mapped the Dentist providers in Melbourne, FL 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 Melbourne, FL
NPI	Name	Address	Insurance	Medicare	PECOS
1013693142	REMI CONLEY (Individual)	2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 (321) 203-5251		Non-Participating Provider	NO
1013697192	MATTHEW VALOORAN JOSEPH (Individual)	2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 (321) 203-5251	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1023220803	RICHARD WILSON LEONG (Individual)	400 S BABCOCK ST MELBOURNE, FL 32901 (321) 723-7255	Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1033372776	KATHY J STETLER (Individual)	4301 N WICKHAM RD STE 4 MELBOURNE, FL 32935 (321) 255-9600		Opted out of Medicare	YES
1033402946	STEVE A. SEDAROS, DMD,PA SEDAROS ORAL FACIAL SURGERY & DENTAL IMPLANTS (Organization)	2301 W EAU GALLIE BLVD STE 1 MELBOURNE, FL 32935 (321) 610-7868	Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1033471255	LINDSAY RULE (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1033539085	ELEY FAMILY DENTISTRY, P.A. (Organization)	2301 W EAU GALLIE BLVD SUITE #102 MELBOURNE, FL 32935 (321) 622-8711		Non-Participating Provider	NO
1043370919	ALFREDO FANELLI (Individual)	1770 N WICKHAM RD MELBOURNE, FL 32935 (321) 235-0606	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	Non-Participating Provider	YES
1053428227	ERIC W. HODGSON (Individual)	1250 W EAU GALLIE BLVD STE A MELBOURNE, FL 32935 (321) 254-4488	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1063858603	STEVEN DONE SMITH (Individual)	1360 BEDFORD DR MELBOURNE, FL 32940 (321) 242-7550	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1073607057	JOE M CREEL, DDS, PA (Organization)	100 W NEW HAVEN AVE MELBOURNE, FL 32901 (321) 723-8821		Non-Participating Provider	NO
1073670550	TRAVIS JAMES AUSTIN (Individual)	1325 PINE ST STE 102 MELBOURNE, FL 32901 (321) 725-5377	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Accepts Medicare	YES
1083025019	SUNSHINE SMILES (Organization)	8061 SPYGLASS HILL RD SUITE 101 MELBOURNE, FL 32940 (321) 622-6255		Non-Participating Provider	NO
1083748842	BEVERLY ANN ROSE (Individual)	2755 N. WICKHAM RD. SUITE 101 MELBOURNE, FL 32935 (321) 259-4666	Guardian	Non-Participating Provider	NO
1093243917	STEPHEN T. RUSO, D.D.S., M.S., P.L.L.C. (Organization)	3760 N WICKHAM RD STE 1 MELBOURNE, FL 32935 (321) 242-9900		Non-Participating Provider	NO
1093598534	ZUNERA TAHIR NAEEM (Individual)	6431 LAKE ANDREW DR UNIT 105 MELBOURNE, FL 32940 (321) 213-6232	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1093725558	E SCOTT BELL (Individual)	1301 W EAU GALLIE BLVD MELBOURNE, FL 32935 (321) 259-1949		Non-Participating Provider	NO
1104209782	NEW IMAGE DENTISTRY (Organization)	7827 N WICKHAM RD SUITE A MELBOURNE, FL 32940 (321) 434-4444		Non-Participating Provider	NO
1114120540	DENNIS CHARLES FREELAND (Individual)	650 CLASSIC CT MELBOURNE, FL 32940 (321) 255-3738		Non-Participating Provider	YES
1114173226	CLARK ANDREW DOWNEY (Individual)	6340 N WICKHAM RD MELBOURNE, FL 32940 (321) 254-8119	Ambetter from Meridian Ambetter Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Indiana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1114948601	JENNIFER BRENNAN CHACE (Individual)	4479 N HARBOR CITY BLVD MELBOURNE, FL 32935 (321) 242-3300	Guardian	Non-Participating Provider	NO
1124320585	NICHOLAS BRAD ROWLEY (Individual)	205 W NEW HAVEN AVE MELBOURNE, FL 32901 (321) 723-1772	Cigna Healthcare Delta Dental Guardian	Non-Participating Provider	NO
1144331265	DAVID SPECTOR (Individual)	7777 N WICKHAM RD SUITE 4 MELBOURNE, FL 32940 (321) 255-6303	Ambetter Health Ambetter of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1144746116	VIERA MODERN DENTISTRY, PA (Organization)	2328 CITADEL WAY SUITE 101 MELBOURNE, FL 32940 (321) 203-5251	Aetna CVS Health Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Humana	Non-Participating Provider	NO
1154614493	MARK STEWART (Individual)	22 NELSON AVE MELBOURNE, FL 32935 (321) 254-5232		Non-Participating Provider	NO
1154745552	MAKOM FOWE POWELL (Individual)	811 S BABCOCK ST MELBOURNE, FL 32901 (321) 729-0022	Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1154807394	VALERIE LEMUS (Individual)	6455 N WICKHAM RD STE 103 MELBOURNE, FL 32940 (321) 420-4142	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 Cigna Healthcare Delta Dental of North Carolina Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1164183893	CDPG, P.L. (Organization)	6300 N WICKHAM RD STE 121 MELBOURNE, FL 32940 (321) 259-5257	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1164575213	CEDRIC C CHENET (Individual)	7331 OFFICE PARK PL SUITE 100 MELBOURNE, FL 32940 (321) 253-3136	Delta Dental	Opted out of Medicare	YES
1164615092	ROBERT W. GROVER (Individual)	38 SUNTREE PL SUITE 1 MELBOURNE, FL 32940 (321) 259-9511		Non-Participating Provider	NO
1164671368	JOHN MITCHELL KREHER (Individual)	523 E NEW HAVEN AV MELBOURNE, FL 32901 (321) 723-0822		Non-Participating Provider	NO
1164819140	TIMOTHY LEWIS (Individual)	205 W NEW HAVEN AVE MELBOURNE, FL 32901 (321) 723-1772		Non-Participating Provider	NO
1164856233	SLEEP DISORDER SPECIALISTS PLLC (Organization)	655 S APOLLO BLVD SUITE 1 MELBOURNE, FL 32901 (321) 327-2440	Ambetter Health Ambetter of Alabama DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1174974778	NAILA A WILLIAMS (Individual)	1770 N WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1184621351	LAURIE SEAQUIST (Individual)	3200 N WICKHAM RD #5 MELBOURNE, FL 32935 (321) 242-3300		Non-Participating Provider	NO
1194012575	JUSTIN LIENECK (Individual)	811 S BABCOCK ST MELBOURNE, FL 32901 (321) 729-0022	Aetna CVS Health Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1194735571	MOHAMMED ABDUL MUJEEB (Individual)	3226 LAKE WASHINGTON RD SUITE 16 MELBOURNE, FL 32934 (321) 255-1991	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1194767707	NEW IMAGE MAXILLOFACIAL LLC RICHARD W SCHMID DDS PA (Organization)	1325 S PINE ST SUITE 102 MELBOURNE, FL 32901 (321) 725-5377	Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) UnitedHealthcare	Non-Participating Provider	NO
1205033222	KELLY C KLAIR (Individual)	601 EAST UNIVERSITY BLVD FLORIDA DEPT OF HEALTH BREVARD COUNTY MELBOURNE, FL 32901 (321) 726-2920		Non-Participating Provider	NO
1215380712	MORVARID MOINI KIHM (Individual)	1035 N APOLLO BLVD. MELBOURNE, FL 32935 (321) 254-6322	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1215416045	PROFESSIONAL DENTAL ALLIANCE OF WEST MELBOURNE, PLLC NEW IMAGE DENTISTRY WEST MELBOURNE (Organization)	2025 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 956-5664	Aetna CVS Health Ambetter Health Ambetter of Alabama Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1225144017	KRISTIN CAVANAH MIRDA (Individual)	8061 SPYGLASS HILL RD SUITE 101 MELBOURNE, FL 32940 (321) 622-6255	Cigna Healthcare Delta Dental	Non-Participating Provider	NO
1225560709	LUIS OCHOA (Individual)	6431 LAKE ANDREW DR UNIT 105 MELBOURNE, FL 32940 (321) 522-5493	Aetna CVS Health Ambetter from Meridian Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana MedMutual Paramount Paramount Dental Renaissance Dental Solstice Benefits TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235299348	MICHEL C LAPOINTE (Individual)	416 S BABCOCK ST MELBOURNE, FL 32901 (321) 951-1360	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 Humana Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1235367350	EHSAN YAHYA SHARAF-ELDEEN (Individual)	940 S HARBOR CITY BLVD MELBOURNE, FL 32901 (352) 246-3131	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1245009687	WHITE PALM DENTAL PA (Organization)	2305 VIDINA DR #103 MELBOURNE, FL 32940 (321) 473-6920	UnitedHealthcare	Non-Participating Provider	NO
1245626811	ROSS H SMITH (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800		Non-Participating Provider	YES
1245772052	KENDALL R. SCHUMACHER DMD PLLC (Organization)	418 E NEW HAVEN AVE MELBOURNE, FL 32901 (321) 514-0021		Non-Participating Provider	NO
1255178950	FLORIDA DENTAL SLEEP DISORDERS, P.A. (Organization)	1400 PINE ST MELBOURNE, FL 32901 (321) 265-3462		Non-Participating Provider	NO
1255418588	TALYA MINTZ (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1255422515	JAMES ROPPA (Individual)	7777 N. WICKHAM ROAD, UNIT 4 MELBOURNE, FL 32940 (321) 255-6303	Aetna CVS Health Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1255427613	THEODORE GEORGE SCHROPP (Individual)	4521 N WICKHAM RD STE 101 MELBOURNE, FL 32935 (321) 255-2700	Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1255766937	PHILLIP ESTES (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Guardian	Non-Participating Provider	YES
1265124390	MORVARID MOINI DMD LLC (Organization)	1035 N APOLLO BLVD. MELBOURNE, FL 32935 (321) 499-2660	UnitedHealthcare	Non-Participating Provider	NO
1265456826	JAMES GEORGE TRANTHAM (Individual)	1704 AIRPORT BLVD STE A MELBOURNE, FL 32901 (321) 473-5414	Aetna CVS Health Delta Dental Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1265524714	VALORIE MARY HOUK (Individual)	8255 N WICKHAM RD STE 103 MELBOURNE, FL 32940 (321) 242-3115	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1265573638	RAY L POLLACK & ASSOCIATES DDS PA (Organization)	1325 S PINE ST SUITE #103 MELBOURNE, FL 32901 (321) 724-4520	Aetna CVS Health	Non-Participating Provider	NO
1265694236	MARYAM BRAZDO (Individual)	1061 S WICKHAM RD MELBOURNE, FL 32904 (321) 722-0155		Non-Participating Provider	NO
1275045817	COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS. P.A. PORTOFINO BAY DENTAL CARE (Organization)	6340 N WICKHAM RD STE 101 MELBOURNE, FL 32940 (321) 622-3305	Aetna CVS Health Ambetter Health Ambetter of Alabama Humana	Non-Participating Provider	NO
1275109258	COAST FLORIDA PA (Organization)	7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 (321) 255-6303		Non-Participating Provider	NO
1275219735	SAGE DENTAL OF VIERA, PLLC (Organization)	7500 LAKE ANDREW DRIVE, UNIT 102 MELBOURNE, FL 32940 (321) 622-3033	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1275880742	NATALIA VALDERRAMA DOUGHERTY (Individual)	903 JORDAN BLASS DR STE 102 MELBOURNE, FL 32940 (321) 544-4127	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1285122044	KENNETH A MOGELL DMD PA (Organization)	1400 PINE ST STE A MELBOURNE, FL 32901 (321) 313-5350		Non-Participating Provider	NO
1285464297	NICOLE SARAH ISHAK (Individual)	2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 (321) 203-5251	Aetna CVS Health Cigna Healthcare Florida Combined Life Humana	Non-Participating Provider	NO
1295000339	MARYAM BRAZDO, DMD, PA (Organization)	1061 S WICKHAM RD MELBOURNE, FL 32904 (321) 724-1400		Non-Participating Provider	NO
1295264232	CHRISTIAN VIDALON (Individual)	7827 N WICKHAM RD STE C MELBOURNE, FL 32940 (321) 434-4444	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina 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 North Carolina Dominion National EMI Health Florida Combined Life Guardian Paramount Paramount Dental Solstice Benefits TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1306118674	COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA DENNIS P SALLER, DDS (Organization)	2900 LAKE WASHINGTON RD STE 2 MELBOURNE, FL 32935 (321) 259-0866		Non-Participating Provider	NO
1306951967	DJ SCALERA JR DDS PA (Organization)	33 SUNTREE PLACE SUITE A MELBOURNE, FL 32940 (321) 259-3283		Non-Participating Provider	NO
1316433840	CARL JONES DDS INC BREVARD ENDODONTICS (Organization)	1360 BEDFORD DR MELBOURNE, FL 32940 (321) 242-7550	Aetna CVS Health Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1326491093	JOEL ELEY (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Blue Cross and Blue 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 Humana Renaissance Dental	Non-Participating Provider	YES
1336298710	MARC ALFANT (Individual)	729 E STRAWBRIDGE AVE MELBOURNE, FL 32901 (321) 984-2461		Non-Participating Provider	YES
1336950351	COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. (Organization)	8805 IVANHOE DR MELBOURNE, FL 32940 (321) 463-3932		Non-Participating Provider	NO
1346322716	DONALD B CORK (Individual)	7500 LAKE ANDREW DR UNIT 102 MELBOURNE, FL 32940 (321) 622-3033	Blue Cross and Blue 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
1346384880	SANGIV I PATEL (Individual)	501 N HARBOR CITY BLVD MELBOURNE, FL 32935 (321) 254-4613		Non-Participating Provider	NO
1346689791	DENTAL 192 (Organization)	100 W NEW HAVEN AVE MELBOURNE, FL 32901 (630) 659-5293		Non-Participating Provider	NO
1356516389	COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA (Organization)	2900 LAKE WASHINGTON RD SUITE #3 MELBOURNE, FL 32935 (321) 259-0217	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1356521876	JGN INVESTMENTS LLC JEFFREY G NICHOLS DMD PA (Organization)	336 N BABCOCK ST STE 102 MELBOURNE, FL 32935 (321) 255-0199		Non-Participating Provider	NO
1366514580	SUSAN ELIZABETH WRIGHT (Individual)	811 S BABCOCK ST MELBOURNE, FL 32901 (321) 729-0022		Non-Participating Provider	NO
1376647016	AMY H ADDINGTON (Individual)	418 E NEW HAVEN AVE MELBOURNE, FL 32901 (321) 722-3337	Guardian	Non-Participating Provider	NO
1386130805	CAMILLE BURNES (Individual)	17 NELSON AVE MELBOURNE, FL 32935 (321) 259-2161	Blue Cross and Blue 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 Guardian Renaissance Dental	Non-Participating Provider	YES
1396312096	COAST FLORIDA P.A. (Organization)	7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 (321) 255-6303		Non-Participating Provider	NO
1396766887	GREGORY RUSSELL CHACE (Individual)	4479 N HARBOR CITY BLVD SUITE 5 MELBOURNE, FL 32935 (321) 242-3300		Non-Participating Provider	NO
1396847935	CESAR M PAREJA (Individual)	1529 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 725-6570	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1407376478	VICTOR CHARLES APEL (Individual)	1514 S BABCOCK ST MELBOURNE, FL 32901 (321) 727-1320		Non-Participating Provider	NO
1407524176	FLORENCIA BIAGGI (Individual)	2025 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 956-5664	Aetna CVS Health Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1407951403	MUHAMMAD R ALI (Individual)	2447 N WICKHAM RD STE 116 MELBOURNE, FL 32935 (321) 956-0999		Non-Participating Provider	NO
1437198249	ANTHONY GERARD DIPASQUALE (Individual)	115 CAPRON TRL MELBOURNE, FL 32940 (321) 259-5100	Aetna CVS Health BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Guardian Humana Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1437558574	RAFAEL SEMINARIO (Individual)	865 PALM BAY RD NE MELBOURNE, FL 32904 (321) 733-4711	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Guardian Renaissance Dental	Non-Participating Provider	YES
1437574761	NATALIA ANDREA MORSE (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1447373113	LEE NELSON SHELDON (Individual)	2223 SARNO RD MELBOURNE, FL 32935 (321) 259-9980		Non-Participating Provider	YES
1447394077	SAMUEL LEE KRETZSCHMAR (Individual)	4301 N WICKHAM RD SUITE 9 MELBOURNE, FL 32935 (321) 242-2236		Non-Participating Provider	YES
1447426994	IDAIGNA MARIA ALVAREZ (Individual)	8061 SPYGLASS HILL ROAD SUITE 101 MELBOURNE, FL 32940 (321) 622-6255	Cigna Healthcare Delta Dental Guardian	Non-Participating Provider	NO
1457362808	MARY CRAWFORD (Individual)	1565 SARNO RD SUITE C MELBOURNE, FL 32935 (321) 729-0004	Blue Cross and Blue Shield of Alabama Guardian	Non-Participating Provider	YES
1457364044	ANJAY KALRA (Individual)	6300 N WICKHAM RD SUITE 121 MELBOURNE, FL 32940 (321) 254-3000	Aetna CVS Health Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1457406506	KARIN JANE LEISTER (Individual)	1751 SARNO RD SUITE #4 MELBOURNE, FL 32935 (321) 254-8425	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1457544371	MICHAEL SCOTT FOWLER (Individual)	38 SUNTREE PL SUITE 1 MELBOURNE, FL 32940 (321) 259-9511	Aetna CVS Health Delta Dental Guardian	Non-Participating Provider	YES
1467044198	CARL JONES DDS INC (Organization)	1601 S APOLLO BLVD MELBOURNE, FL 32901 (321) 984-0034	Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1467546713	CARL CLINTON WILKINSON III, D.M.D., P.A. CLINT WILKINSON, D.M.D., P.A. (Organization)	1300 W EAU GALLIE BLVD SUITE B MELBOURNE, FL 32935 (321) 254-4111		Non-Participating Provider	NO
1467835074	WILLIAM SHANE VAUGHN (Individual)	2113 SARNO RD MELBOURNE, FL 32935 (321) 259-9429	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1477947604	VIJAY AGARWAL DDS PA (Organization)	2330 N WICKHAM RD SUITE 3 MELBOURNE, FL 32935 (321) 255-3311		Non-Participating Provider	NO
1477960375	ALEXANDROS TAPPER (Individual)	3150 N WICKHAM RD STE 7 MELBOURNE, FL 32935 (321) 259-5257	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1497836191	BRAILLE MARIE WATSON (Individual)	17 NELSON AVE MELBOURNE, FL 32935 (321) 259-2161	Guardian	Non-Participating Provider	NO
1508067752	SIDNEY WILLIAM SAYRE (Individual)	7025 N WICKHAM RD STE 105 MELBOURNE, FL 32940 (321) 253-1616	Guardian	Non-Participating Provider	NO
1508178864	CARL JONES (Individual)	1360 BEDFORD DRIVE MELBOURNE, FL 32940 (321) 242-7550	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1508826652	MARCO ANTONIO PINTO (Individual)	402 N BABCOCK ST SUITE 102 MELBOURNE, FL 32935 (321) 345-1992	Aetna CVS Health Ambetter Health Ambetter of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1518841527	EHSAN Y. SHARAF-ELDEEN DMD, MD, FACS, P.A. (Organization)	940 S HARBOR CITY BLVD MELBOURNE, FL 32901 (352) 246-3131		Non-Participating Provider	NO
1528200581	CLAYTON A. FINLEY DDS, LLC (Organization)	1300 W EAU GALLIE BLVD SUITE B MELBOURNE, FL 32935 (321) 956-0365		Non-Participating Provider	NO
1538426226	MATTHEW ERIC SHELDON (Individual)	2223 SARNO RD MELBOURNE, FL 32935 (352) 359-0983		Non-Participating Provider	YES
1538549001	SONG MAO (Individual)	1390 S BABCOCK ST MELBOURNE, FL 32901 (321) 728-4546	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1548301906	RAYMOND LYLE POLLOCK (Individual)	1325 SOUTH PINE ST #103 MELBOURNE, FL 32901 (321) 724-4520	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1548748999	ETHAN SILVERMAN (Individual)	7827 N WICKHAM RD MELBOURNE, FL 32940 (321) 434-4444	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1558840371	PROFESSIONAL DENTAL ALLIANCE OF LAKE WASHINGTON, PLLC NEW IMAGE DENTISTRY LAKE WASHINGTON (Organization)	3226 LAKE WASHINGTON RD STE 16 MELBOURNE, FL 32934 (321) 255-1991	Aetna CVS Health Ambetter Health Ambetter of Alabama Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1568123321	CDPG, P.L. (Organization)	1390 S BABCOCK ST MELBOURNE, FL 32901 (321) 728-4546	Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1568225134	ISABELA MELGACO TAVARES CRUZ (Individual)	3226 LAKE WASHINGTON RD STE 16 MELBOURNE, FL 32934 (321) 255-1991	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1568596989	SANGIV I PATEL DDS PA (Organization)	501 N HARBOR CITY BLVD MELBOURNE, FL 32935 (321) 254-4613		Non-Participating Provider	NO
1578243259	ASHLEIGH BILLHARTZ (Individual)	2328 CITADEL WAY STE 101 MELBOURNE, FL 32940 (321) 203-5251	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1588635080	ROBERT L BURNS (Individual)	481 N HARBOR CITY BLVD MELBOURNE, FL 32935 (321) 752-0809	Aetna CVS Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Humana UnitedHealthcare	Non-Participating Provider	NO
1588798342	MARY L. KALIMNIOS, D.M.D. (Organization)	402 N BABCOCK ST SUITE 103 MELBOURNE, FL 32935 (321) 259-2161		Non-Participating Provider	NO
1588959514	ANDREW LANGSTON (Individual)	1371 BEDFORD DR MELBOURNE, FL 32940 (321) 242-2100	Aetna CVS Health Guardian	Non-Participating Provider	YES
1598974313	PAUL ANDREW SCOTT (Individual)	1114 PALMETTO AVE MELBOURNE, FL 32901 (321) 722-0550	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 Dominion National Guardian Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1598988875	JOHN THOMAS MCCANN (Individual)	1325 PINE ST SUITE 101 MELBOURNE, FL 32901 (321) 984-0034	Guardian	Non-Participating Provider	NO
1598993321	ILSE W. BERUBE, DMD, PA (Organization)	1937 CENTRAL BLVD MELBOURNE, FL 32901 (321) 723-0671		Non-Participating Provider	NO
1609091487	TERESA K BRIGANCE (Individual)	3760 N WICKHAM RD #1 MELBOURNE, FL 32935 (321) 242-9900		Non-Participating Provider	NO
1629138557	DENTON BIRCH (Individual)	1770 N WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1629452545	MOHAMMED MUSHTAQ AHMED (Individual)	7827 N WICKHAM RD SUITE A MELBOURNE, FL 32940 (321) 434-4444	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1629617154	AVANTHI KOPURI, DMD, MSD, MHA, PLLC (Organization)	2555 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 728-9999		Non-Participating Provider	NO
1639358211	KING KIM (Individual)	1325 S PINE ST SUITE 102 MELBOURNE, FL 32901 (321) 725-5377	Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Florida Combined Life Guardian Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Accepts Medicare	YES
1649309071	AVANTHI KOPURI, DMD, MSD, MHA, PLLC CENTRAL FLORIDA ORTHODONTIC SPECIALIST (Organization)	2555 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 728-9999	Aetna CVS Health	Non-Participating Provider	NO
1649449968	CLARK FRANKLIN BROWN (Individual)	1801 W HIBISCUS BLVD MELBOURNE, FL 32901 (321) 372-7700	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 Dominion National Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Opted out of Medicare	NO
1649615550	VEVERA FAMILY DENTISTRY (Organization)	2301 W EAU GALLIE BLVD SUITE 102 MELBOURNE, FL 32935 (321) 622-8711		Non-Participating Provider	NO
1649933151	OMAR HASSAN ELKHABBAZ (Individual)	7777 N WICKHAM RD MELBOURNE, FL 32940 (321) 255-6303	Aetna CVS Health Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1649985193	VLADIA COELHO (Individual)	3226 LAKE WASHINGTON RD STE 16 MELBOURNE, FL 32934 (321) 255-1991	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1659440451	DALE A STOCKTON (Individual)	2900 LAKE WASHINGTON RD SUITE 3 MELBOURNE, FL 32935 (321) 259-0217	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 Illinois Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1659770725	NEW IMAGE DENTISTRY OF WEST MELBOURNE (Organization)	2025 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 956-5664		Non-Participating Provider	NO
1669067682	DR.ANU DESHPANDE BDS DMD MS PA PRISTINE ENDODONTICS (Organization)	330 N BABCOCK ST STE 102 MELBOURNE, FL 32935 (321) 208-7979		Non-Participating Provider	NO
1669406526	LISA A GOFF (Individual)	2717 N WICKHAM RD SUITE 1 MELBOURNE, FL 32935 (321) 242-2766		Non-Participating Provider	NO
1669562948	ILSE WERNER BERUBE (Individual)	1937 CENTRAL BLVD MELBOURNE, FL 32901 (321) 723-0671		Non-Participating Provider	NO
1669779468	NIKHITA SHREE KUMAR INC. CONSUMERS' DENTAL CARE CENTER (Organization)	811 S BABCOCK ST MELBOURNE, FL 32901 (321) 729-0022		Non-Participating Provider	NO
1669950192	LORENA NORA WILKINS (Individual)	7500 LAKE ANDREW DR UNIT 102103 MELBOURNE, FL 32940 (321) 622-3033	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1669951356	PROFESSIONAL DENTAL ALLIANCE OF SUNTREE, PLLC NEW IMAGE DENTISTRY SUNTREE (Organization)	7827 N WICKHAM RD MELBOURNE, FL 32940 (321) 434-4444	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1679294326	KYLE GONZALEZ (Individual)	6455 N WICKHAM RD STE 103 MELBOURNE, FL 32940 (321) 420-4142	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1679905194	KENDALL ROY SCHUMACHER (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1689146839	ANDREW LANGSTON DMD PLLC THE FACIAL SURGERY CENTER (Organization)	1371 BEDFORD DR MELBOURNE, FL 32940 (321) 242-2100	Aetna CVS Health	Non-Participating Provider	NO
1689759235	WARREN CHRISTOPHER EDWARDS (Individual)	8247 DEVEREUX DR STE 102 MELBOURNE, FL 32940 (321) 751-7775		Opted out of Medicare	NO
1699176990	AVANTHI KOPURI (Individual)	2555 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 728-9999	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1699334599	THOMAS TOLLES (Individual)	6340 N WICKHAM RD UNIT 101 MELBOURNE, FL 32940 (321) 254-8119	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1699888214	JOE MORTON CREEL (Individual)	100 W NEW HAVEN AVE MELBOURNE, FL 32901 (321) 723-8821		Non-Participating Provider	NO
1700227923	DHIREN AGRAWAL (Individual)	249 PALM BAY RD NE MELBOURNE, FL 32904 (617) 690-9919	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1700958956	CASTLE 1ST DENTAL CARE PA BRIGHT NOW DENTAL (Organization)	1770 N. WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1710140702	WILLIAM C KEYES (Individual)	6709 COLONNADE AVE STE 101 MELBOURNE, FL 32940 (321) 433-1022	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1710184973	MARK A KEDZIERSKI (Individual)	2990 BUSINESS CENTER BLVD SUITE A MELBOURNE, FL 32940 (321) 254-0306	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National EMI Health Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1720257504	CHRISTIE DENTAL PRACTICE GROUP (Organization)	1674 W HIBISCUS BLVD MELBOURNE, FL 32901 (321) 729-0004	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1720841117	JOSE ALEJANDRO LOPEZ (Individual)	903 JORDAN BLASS DR STE 102 MELBOURNE, FL 32940 (321) 425-5050		Non-Participating Provider	NO
1730314360	MARIA F BARRERA HAGEN (Individual)	1694 W HIBISCUS BLVD STE A MELBOURNE, FL 32901 (321) 412-3239	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 Cigna Healthcare Delta Dental Humana Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1730556358	MOHAMMED KHATTARI (Individual)	7777 N WICKHAM RD SUITE 4 MELBOURNE, FL 32940 (321) 255-6303	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1730630633	MARY BADDOUR (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1740394022	JOSEPH MATINI (Individual)	8095 SPYGLASS HILL RD SUITE 103 MELBOURNE, FL 32940 (321) 757-5074	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Humana	Non-Participating Provider	NO
1740409440	STEVE ADLAI SEDAROS (Individual)	2301 WEST EAU GALLIE BLVD SUITE 101 MELBOURNE, FL 32935 (321) 610-7868	Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1740458934	RICHARD W SCHMID (Individual)	1325 S PINE ST SUITE 102 MELBOURNE, FL 32901 (321) 725-5377	Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Accepts Medicare	YES
1740975598	CLAYTON HELMS COOPER (Individual)	8805 IVANHOE DR MELBOURNE, FL 32940 (214) 828-8215		Non-Participating Provider	NO
1760535819	CEDRIC C CHENET DDS PA (Organization)	7331 OFFICE PARK PL SUITE 100 MELBOURNE, FL 32940 (321) 253-3136		Non-Participating Provider	NO
1760862874	JOSE ADRIAN GUERRA CHICO (Individual)	3226 LAKE WASHINGTON RD MELBOURNE, FL 32934 (321) 255-1991	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1770612285	NAGESWARA RAO KOPURI (Individual)	2555 W NEW HAVEN AVE MELBOURNE, FL 32904 (321) 728-9999	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 Dominion National Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1770799801	DR. PHILLIP ESTES, DMD, PA (Organization)	38 SUNTREE PL SUITE 1 MELBOURNE, FL 32940 (321) 259-9511		Non-Participating Provider	NO
1780893842	PAULA ROBERTS (Individual)	220 N BABCOCK ST MELBOURNE, FL 32935 (321) 254-5832	Blue Cross and Blue 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
1790217727	WATRAAT HASANAT (Individual)	330 N BABCOCK ST STE 102 MELBOURNE, FL 32935 (321) 208-7979	Cigna Healthcare Delta Dental Guardian Humana	Non-Participating Provider	NO
1790301752	NOUR ELKHATIB (Individual)	3226 LAKE WASHINGTON RD STE 16 MELBOURNE, FL 32934 (321) 255-1991	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1790706158	TODD E CHRISTIE (Individual)	1694 W HIBISCUS BLVD STE A MELBOURNE, FL 32901 (321) 729-0004	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1801003397	CLAYTON ANTHONY FINLEY (Individual)	1300 W EAU GALLIE BLVD MELBOURNE, FL 32935 (321) 254-0200		Non-Participating Provider	NO
1801985957	LIE-YING PERIU (Individual)	6765 N WICKHAM RD SUITE C105 MELBOURNE, FL 32940 (321) 622-8960	Blue Cross and Blue 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 Humana	Non-Participating Provider	YES
1811124043	DENNIS P SALLER (Individual)	2900 LAKE WASHINGTON RD SUITE 2 MELBOURNE, FL 32935 (321) 259-0866		Non-Participating Provider	NO
1811191992	STEVEN MICHAEL HOOK (Individual)	1751 SARNO RD STE #6 MELBOURNE, FL 32935 (321) 752-5130		Non-Participating Provider	NO
1811244791	MICHAEL DAVID HOSKING (Individual)	5600 PORADA DR STE 102 MELBOURNE, FL 32940 (321) 754-9988	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1821637638	RICHARD WILSON LEONG JR DDS PA (Organization)	400 S BABCOCK ST MELBOURNE, FL 32901 (321) 723-7255		Non-Participating Provider	NO
1831296045	GREGORY E. CHESHIRE, DMD, PA CHESHIRE DENTAL CARE (Organization)	1565 SARNO RD SUITE C MELBOURNE, FL 32935 (321) 600-4994	Aetna CVS Health	Non-Participating Provider	NO
1841603974	PAULINA PICHARDO (Individual)	220 N BABCOCK ST MELBOURNE, FL 32935 (321) 254-5521	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1841853710	LANCE SCOTT MCGAVIN (Individual)	2305 VIDINA DR #103 MELBOURNE, FL 32940 (321) 473-6920	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Cigna Healthcare Delta Dental Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1841859634	DIORGIS MANUEL SARMIENTO (Individual)	1770 N WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1851750426	DEREK CHENET (Individual)	7331 OFFICE PARK PL STE 100 MELBOURNE, FL 32940 (321) 253-3136	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Opted out of Medicare	NO
1861587917	VIJAY AGARWAL (Individual)	2711 W EAU GALLIE BLVD MELBOURNE, FL 32935 (321) 255-3311	Guardian Humana	Non-Participating Provider	NO
1861877102	NATALIA VALDERRAMA, DDS, PA VALDERRAMA ORTHODONTICS (Organization)	903 JORDAN BLASS DR STE 102 MELBOURNE, FL 32940 (321) 544-4127	UnitedHealthcare	Non-Participating Provider	NO
1871006742	DENTISTS OF MELBOURNE, PA DENTISTS OF MELBOURNE (Organization)	6455 N WICKHAM RD STE 103 MELBOURNE, FL 32940 (321) 420-4142	Aetna CVS Health Ambetter Health Ambetter of Alabama	Non-Participating Provider	NO
1871082958	CHRISTOPHER MICHAEL NAGLIERI (Individual)	1360 BEDFORD DR MELBOURNE, FL 32940 (321) 242-7550	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1871488395	ILLYSSA JARAPLASAN (Individual)	5484 LORKEY LN MELBOURNE, FL 32940 (321) 837-3700		Non-Participating Provider	NO
1881206787	KALYNN FOSTER NAGLIERI (Individual)	5500 STADIUM PKWY STE 200 MELBOURNE, FL 32940 (954) 425-2754		Non-Participating Provider	NO
1891134441	HARRISON WILLIAM GOLLOB (Individual)	130 INTERLACHEN RD STE A MELBOURNE, FL 32940 (321) 255-4644	Aetna CVS Health Ambetter Health Ambetter of Alabama Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Dominion National EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1891268413	DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA PA DENTAL PARTNERS - MELBOURNE (Organization)	2419 S BABCOCK ST MELBOURNE, FL 32901 (321) 956-7700	Aetna CVS Health	Non-Participating Provider	NO
1902246226	JOEL C SCALERA (Individual)	33 SUNTREE PL SUITE A MELBOURNE, FL 32940 (321) 259-3283		Non-Participating Provider	YES
1902792609	SHIVANI SIKIU PRASHAD MANN (Individual)	6455 N WICKHAM RD STE 103 MELBOURNE, FL 32940 (321) 420-4142		Non-Participating Provider	NO
1902978026	MICHAEL JAMES MACKAY (Individual)	481 N HARBOR CITY BLVD SUITE #102 MELBOURNE, FL 32935 (321) 254-7474		Non-Participating Provider	NO
1912079187	VALLEY FORGE DENTAL OF FL PA BRIGHT NOW DENTAL (Organization)	1770 N. WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Aetna CVS Health Ambetter Health Ambetter of Alabama Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1912669581	JORGE ARNOLD DOVALE RICARDO (Individual)	1770 N WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1912794488	H & O DENTAL LLC (Organization)	1250 W EAU GALLIE BLVD STE C MELBOURNE, FL 32935 (305) 900-0873		Non-Participating Provider	NO
1922413046	ALFREDO ENRIQUE TORRAS CEBALLOS (Individual)	6555 N WICKHAM RD STE 106 MELBOURNE, FL 32940 (321) 684-7070	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1922676220	VRINDA SHAH (Individual)	2419 S BABCOCK ST MELBOURNE, FL 32901 (321) 323-0048	Blue Cross and Blue 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
1952303059	GREGORY EARL CHESHIRE (Individual)	2120 SARNO RD MELBOURNE, FL 32935 (321) 241-6800	Aetna CVS Health Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1952361867	ERIN J. CARMODY (Individual)	811 S BABCOCK ST MELBOURNE, FL 32901 (321) 729-0022		Non-Participating Provider	YES
1952529596	CHACE DENTAL PL GENTLE DENTAL ASSOCIATES (Organization)	4479 N HARBOR CITY BLVD MELBOURNE, FL 32935 (321) 242-3300		Non-Participating Provider	NO
1952696007	DANIEL WARREN ELEY (Individual)	2301 W EAU GALLIE BLVD SUITE 102 MELBOURNE, FL 32935 (321) 622-8711	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Humana Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO
1952854044	JOAO VICTOR DE OLIVEIRA MATIAS (Individual)	7777 N WICKHAM RD STE 4 MELBOURNE, FL 32940 (321) 255-6303	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1962514273	ROBERT LANCE TUTTLE (Individual)	302 E STRAWBRIDGE AVE MELBOURNE, FL 32901 (321) 676-0425		Non-Participating Provider	NO
1962787309	JANE ABBATE (Individual)	1770 N WICKHAM RD MELBOURNE, FL 32935 (321) 253-0606	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Humana Paramount Paramount Dental	Non-Participating Provider	NO
1972752582	SUNG MIN NAM (Individual)	220 N BABCOCK ST MELBOURNE, FL 32935 (321) 254-5521	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	YES
1982973939	CHAD R REDDICK (Individual)	22 NELSON AVE MELBOURNE, FL 32935 (321) 254-5232	Guardian	Non-Participating Provider	NO
1992066757	DAVID I SUTTON (Individual)	2900 LAKE WASHINGTON RD STE 3 MELBOURNE, FL 32935 (321) 259-0217	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental Solstice Benefits UnitedHealthcare	Non-Participating Provider	NO

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