Dentist Providers In Memphis, Tennessee

Search Dentist NPI records in Memphis, TN

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Memphis, TN. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 632, of which 139 are registered as organizations and 493 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

78% Individuals

22% Organizations

24% Female

54% Male

78% Individual Providers (493)22% Medical Organizations (139)24% Female Providers (154)54% Male Providers (339)

Map of Providers

We have mapped the Dentist providers in Memphis, TN 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 Memphis, TN
NPI	Name	Address	Insurance	Medicare	PECOS
1003378779	YOUSEF ODEH JEFFERSON (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 842-3171	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1003384215	MARK DAVID DEVINCENZI (Individual)	2805 SUMMER OAKS DR MEMPHIS, TN 38134 (901) 881-0483	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1003578311	PARKHURST AND SAVAGE FAMILY AND COSMETIC DENTISTRY (Organization)	730 CROSSOVER LN MEMPHIS, TN 38117 (901) 683-4369		Non-Participating Provider	NO
1003822842	IMPLANT DENTISTRY OF THE MID SOUTH (Organization)	1000 BROOKFIELD RD SUITE 104 MEMPHIS, TN 38119 (901) 767-3259		Non-Participating Provider	NO
1003846569	DAVID RICHARD CAGNA (Individual)	UTHSC COLLEGE OF DENTISTRY 875 UNION AVENUE MEMPHIS, TN 38163 (901) 448-6642		Non-Participating Provider	NO
1003995374	THOMAS HENRY SHIPMON (Individual)	5170 SANDERLIN AVE SUITE 203 MEMPHIS, TN 38117 (901) 767-3603		Non-Participating Provider	NO
1013001445	ROBERT WOOD SMITH (Individual)	1030 JEFFERSON AVE MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1013062249	RAGONVA SHANTE WALLS (Individual)	1273 E RAINES RD MEMPHIS, TN 38116 (901) 398-6435	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1013078666	JOHN DOUGLAS SEEBERG (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-6267		Non-Participating Provider	NO
1013117225	YOLANDA ANTHONY-WEST (Individual)	1045 MULLINS STATION ROAD MEMPHIS, TN 38112 (901) 387-5748		Non-Participating Provider	NO
1013359439	SHEILA LYNNE COLEMAN-DENTON (Individual)	360 E EH CRUMP BLVD MEMPHIS, TN 38126 (901) 261-2046	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1013783323	SEXTON-OMS, LLC (Organization)	1661 AARON BRENNER DR STE 105 MEMPHIS, TN 38120 (901) 756-8475	UnitedHealthcare	Non-Participating Provider	NO
1013905165	ISAAC FORDJOUR (Individual)	910 MADISON AVE SUITE 710 MEMPHIS, TN 38103 (901) 526-3988	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana	Non-Participating Provider	NO
1013931724	DANIEL LEE REAVES (Individual)	1030 JEFFERSON AVE DENTAL SERVICE (160) MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	YES
1023088523	DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C. (Organization)	5180 PARK AVE SUITE 210 MEMPHIS, TN 38119 (901) 763-0850	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1023147790	BRADLEY W WILKINSON (Individual)	5040 SANDERLIN AVENUE SUITE 101 MEMPHIS, TN 38117 (901) 761-5155	BlueCross BlueShield of Tennessee Humana	Non-Participating Provider	NO
1023158185	PERIODONTAL ASSOCIATES OF MEMPHIS (Organization)	6268 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3770	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1023187028	WILLIAM ROBERT CALLAHAN (Individual)	813 RIDGE LAKE BLVD #450 MEMPHIS, TN 38120 (901) 761-3456		Non-Participating Provider	NO
1023256393	HICKORY HILL DENTAL CARE HICKORY HILL FAMILY DENTISTRY (Organization)	1952 LAMAR AVENUE MEMPHIS, TN 38114 (901) 276-4629	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1023311065	ERIN FREEMAN (Individual)	5100 WHEELIS DR STE 214 MEMPHIS, TN 38117 (901) 767-1610	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1023544103	ELIZABETH FELTON (Individual)	795 RIDGE LAKE BLVD STE 101 MEMPHIS, TN 38120 (901) 682-5001	Guardian	Non-Participating Provider	NO
1023892759	OLGA BYAKINA (Individual)	240 MADISON AVE APT 502 MEMPHIS, TN 38103 (415) 238-8262	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1023898145	RAYMOND COSMETIC & IMPLANT DENTISTRY (Organization)	1251 WESLEY DR STE 130 MEMPHIS, TN 38116 (901) 332-9170		Non-Participating Provider	NO
1033223839	DAVID COLEMAN MORRIS (Individual)	5366 ESTATE OFFICE DR STE 2 MEMPHIS, TN 38119 (901) 683-4011	Guardian	Non-Participating Provider	NO
1033244595	DELLWYN TURNIPSEED D.M. D.,P. C. (Organization)	1195 POPLAR AVE MEMPHIS, TN 38105 (901) 722-8445		Non-Participating Provider	NO
1033321559	SHARAD CHITALIA (Individual)	845 S. HIGHLAND ST MEMPHIS, TN 38111 (901) 323-8488		Non-Participating Provider	NO
1033361704	ASSOCIATES DENTAL GROUP P. C. (Organization)	2154 FRAYSER BLVD MEMPHIS, TN 38127 (901) 357-5224		Non-Participating Provider	NO
1033370457	JENNIFER STEWART BLAKELY LOU (Individual)	875 UNION AVE DEPARTMENT OF PEDIATRIC DENTISTRY MEMPHIS, TN 38103 (901) 448-6260	Ambetter from Meridian Ambetter 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	Non-Participating Provider	NO
1033392337	JAMES HAROLD ANDERSON (Individual)	975 REDDOCH COVE MEMPHIS, TN 38119 (901) 682-2491	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	YES
1033497284	LARRY STEVEN WEISS DDS (Organization)	165 MADISON AV. #1206 MEMPHIS, TN 38103 (901) 523-2999		Non-Participating Provider	NO
1033690375	MADELINE DELPHIME HUDDLESTON (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 310-1441	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama 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 Cigna Healthcare Delta Dental PPO DentaQuest Insurance Company Inc- TN Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1043221823	BRYCE F MCCREARY (Individual)	7865 EDUCATORS LN STE 120 MEMPHIS, TN 38133 (901) 380-7994	Guardian Humana	Non-Participating Provider	NO
1043320831	HARRY J CHINN (Individual)	6622 KIRBY CENTER COVE MEMPHIS, TN 38115 (901) 365-2866	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1043432404	LARRY KEVIN WELLS (Individual)	843 MOUNT MORIAH RD MEMPHIS, TN 38117 (901) 737-1927	Guardian Humana	Non-Participating Provider	NO
1043492614	DENTAL HEALTH CORP. OF MEMPHIS, PC (Organization)	4250 FARONIA RD MEMPHIS, TN 38116 (901) 332-9170	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1043639651	JENNIFER FERNANDEZ (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6240	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 DentaQuest Insurance Company Inc- TN Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1043819840	SARAH TADDIA (Individual)	3068 COVINGTON PIKE STE 2 MEMPHIS, TN 38128 (901) 371-8850		Non-Participating Provider	NO
1043978083	JSCC ENTERPRISES PLLC (Organization)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	NO
1053449637	AVERY AND MEADOWS, DDS, PC (Organization)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	NO
1053778613	ASHLEY HARRIS (Individual)	1030 JEFFERSON AVE DENTAL CLINIC 614 MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1063228658	LISA PHILLIPS (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 310-1441		Non-Participating Provider	NO
1063685501	ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC (Organization)	516 VANCE AVE MEMPHIS, TN 38126 (901) 526-4442		Non-Participating Provider	NO
1063982957	JASMINE COPELAND (Individual)	1251 WESLEY DR STE 130 MEMPHIS, TN 38116 (901) 332-9170	Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental PPO 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	NO
1063989754	SHELBY DENTAL (Organization)	990 JUNE RD MEMPHIS, TN 38119 (901) 767-2290		Non-Participating Provider	NO
1073050605	BARRY OWENS (Individual)	875 UNION AVE. MEMPHIS, TN 38163 (901) 832-0472		Non-Participating Provider	NO
1073106001	KELLI GUTTER (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 701-6064	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1073264099	DONALD KENT MAUNEY (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-3636		Non-Participating Provider	NO
1073599213	JAMES CARLTON RAGAIN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6270		Non-Participating Provider	NO
1073601753	SILAS DWAIN GAITHER (Individual)	6425 QUAIL HOLLOW ROAD SUITE 102 MEMPHIS, TN 38120 (901) 767-3020	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1073671210	J H MCCLAIN DDS PC (Organization)	757 BROOKHAVEN CIRCLE MEMPHIS, TN 38117 (901) 683-4976		Non-Participating Provider	NO
1073676003	DENISE M MUSTIFUL-MARTIN (Individual)	1286 PEABODY AVE MEMPHIS, TN 38104 (901) 276-6000	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 BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073695490	ROBERT L BRANDT (Individual)	910 MADISON SUITE 608 MEMPHIS, TN 38163 (901) 448-6476	Guardian	Non-Participating Provider	NO
1073718706	LALE O ADAMS (Individual)	670 COLONIAL RD SUITE 3 MEMPHIS, TN 38117 (901) 680-6881	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1073770178	WILLIAM E LLOYD (Individual)	4515 POPLAR AVE #225 MEMPHIS, TN 38117 (901) 761-4647		Non-Participating Provider	NO
1073819413	SHELDON M. GRAVES & TODD SMITH PEDIATRIC DENTISTRY (Organization)	4137 KIRBY PKWY SUITE 4 MEMPHIS, TN 38115 (901) 433-0701		Non-Participating Provider	NO
1083064901	HANNA ORLAND (Individual)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	NO
1093036139	ANTHONY VINCENT PRICE (Individual)	2900 KIRBY RD SUITE #9 MEMPHIS, TN 38119 (901) 755-7392	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	NO
1093358103	NOLA DENTAL CLINIC (Organization)	6757 E SHELBY DR MEMPHIS, TN 38141 (901) 207-4577		Non-Participating Provider	NO
1093387334	ANDREW LEPCZYK (Individual)	920 MADISON AVE STE 447 MEMPHIS, TN 38103 (901) 448-5814	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 BlueCross BlueShield of Tennessee EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1093871907	JAMES E. SEXTON (Individual)	6750 POPLAR AVE SUITE 700 MEMPHIS, TN 38138 (901) 309-3045		Non-Participating Provider	NO
1093900474	MIHAELA LEORDEANU (Individual)	4515 POPLAR AVE STE. 227 MEMPHIS, TN 38117 (901) 680-9578	Guardian	Non-Participating Provider	NO
1093934853	DAN THOMAS MEADOWS (Individual)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	NO
1093952269	MICHAEL EDWARD SOLOMON (Individual)	5126 SUMMER AVE. 101 MEMPHIS, TN 38117 (901) 818-1990		Non-Participating Provider	NO
1093965857	NICHOLAS LUKE EGBERT (Individual)	7535 POPLAR AVE MEMPHIS, TN 38138 (901) 754-4200	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 BridgeSpan Health Company Delta Dental PPO DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Humana Molina Healthcare Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1104009364	KAYE ADAMS BROWNE (Individual)	1128 WINCHESTER RD STE 108 MEMPHIS, TN 38116 (901) 332-7111	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1104044767	DAN SPURRIER EASON (Individual)	2670 UNION AVENUE EXT SUITE 130 MEMPHIS, TN 38112 (901) 327-3800	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1104046333	JAMES F REARDON (Individual)	5170 SANDENLIN SUITE 203 MEMPHIS, TN 38117 (901) 767-3603		Non-Participating Provider	NO
1104048941	BARRY A VESCOVO (Individual)	3705 MALCO WAY SUITE103 MEMPHIS, TN 38125 (901) 751-4420	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1104099639	DANNY WEISS, D.D.S., P.C. (Organization)	5885 RIDGEWAY CENTER PKWY SUITE 200 MEMPHIS, TN 38120 (901) 767-7370		Non-Participating Provider	NO
1104154145	DIANE L. ABBEY (Individual)	5575 POPLAR AVENUE SUITE 200 MEMPHIS, TN 38119 (901) 767-3491	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 BlueCross BlueShield of Tennessee Guardian	Non-Participating Provider	NO
1104367481	WHITEHAVEN DENTAL CARE INC. (Organization)	1273 E RAINES RD MEMPHIS, TN 38116 (901) 398-6435		Non-Participating Provider	NO
1104587054	TEAM MEMPHIS ORTHODONTICS (Organization)	5180 PARK AVE STE 260 MEMPHIS, TN 38119 (615) 414-8589	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1104815091	LEE T MYERS (Individual)	1952 LAMAR AVE MEMPHIS, TN 38114 (901) 276-4629	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 BlueCross BlueShield of Tennessee Cigna Healthcare 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
1104816560	BEVERLY H LEWIS (Individual)	1216 THOMAS ST MEMPHIS, TN 38107 (901) 525-3800	Blue Cross and Blue 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
1104899079	RICHARD HUNTER SMITH (Individual)	5756 RAYBEN CIR MEMPHIS, TN 38115 (901) 795-4121		Non-Participating Provider	NO
1104991389	CLAYTON CANTRELL FLORIANI (Individual)	6264 POPLAR AVE SUITE #2 MEMPHIS, TN 38119 (901) 767-2152	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	NO
1114036886	GLOBAL DENTAL CENTER LLC (Organization)	3719 RIVERDALE RD MEMPHIS, TN 38115 (901) 527-5359	DentaQuest Insurance Company Inc- TN	Non-Participating Provider	NO
1114056694	ROGER D CRADDOCK (Individual)	6268 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3770		Opted out of Medicare	YES
1114093762	PHILLIP SHERMAN (Individual)	6209 POPLAR #220 MEMPHIS, TN 38119 (901) 767-6673	Guardian	Opted out of Medicare	YES
1114122140	MARION D BAILEY (Individual)	5180 PARK AVE 310 MEMPHIS, TN 38119 (901) 685-1152	Blue Cross and Blue 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
1114137007	DAVID EDWARD UMSTED (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6930		Non-Participating Provider	NO
1114142775	LYLE MANNING WHITMORE (Individual)	6800 POPLAR AVE STE 105 MEMPHIS, TN 38138 (901) 756-0005		Non-Participating Provider	NO
1114145471	BETSY DORRIS BARCROFT (Individual)	6425 N QUAIL HOLLOW RD # - SUITE 101 MEMPHIS, TN 38120 (901) 682-8491	Blue Cross and Blue 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
1114299401	FAMILY AND COSMETIC DENTISTRY OF MEMPHIS, PLLC FAMILY AND COSMETIC DENTISTRY OF MEMPHIS (Organization)	845 S HIGHLAND ST MEMPHIS, TN 38111 (901) 323-8488	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN WellCare of North Carolina	Non-Participating Provider	NO
1114545969	DASIRAE DANIELLE SIEH (Individual)	875 UNION AVENUE MEMPHIS, TN 38163 (901) 448-5500		Non-Participating Provider	NO
1114625415	CONTAGIOUS SMILES (Organization)	6757 E SHELBY DR MEMPHIS, TN 38141 (901) 410-8210		Non-Participating Provider	NO
1114732617	DENTISTRYONE OF TENNESSEE PC (Organization)	5865 RIDGEWAY CENTER PKWY STE 300 MEMPHIS, TN 38120 (877) 712-7875		Non-Participating Provider	NO
1114935541	MEHDI SADEGHI (Individual)	6750 POPLAR AVE STE 612 MEMPHIS, TN 38138 (901) 309-1333	Humana	Non-Participating Provider	NO
1114996584	JIMMY E. ALBRIGHT (Individual)	766 S WHITE STATION RD SUITE 1 MEMPHIS, TN 38117 (901) 685-8090	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	Opted out of Medicare	YES
1124133616	DWIGHT ADAIR MORRIS (Individual)	780 RIDGE LAKE BLVD SUITE 101 MEMPHIS, TN 38120 (901) 682-8431		Opted out of Medicare	YES
1124144423	GREGORY JOSEPH PAPROCKI (Individual)	1030 JEFFERSON AVE DENTAL SERVICE (160) MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1124198874	GABRIEL JOHN TOULIATOS (Individual)	722 CROSSOVER LN MEMPHIS, TN 38117 (901) 683-4369		Opted out of Medicare	YES
1124479738	ANDREW TYLER GLASSELL (Individual)	1711 KIRBY PKWY MEMPHIS, TN 38120 (901) 591-1526	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1124680632	ANNA CLAIRE COMPTON (Individual)	5348 ESTATE OFFICE DR MEMPHIS, TN 38119 (901) 763-4700	Guardian	Non-Participating Provider	YES
1134117179	FRED C HEROS (Individual)	3594 COVINGTON PIKE MEMPHIS, TN 38128 (901) 377-6800	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134128192	CARL WALTER SCHULTER (Individual)	795 RIDGE LAKE BLVD MEMPHIS, TN 38120 (901) 682-5001		Non-Participating Provider	YES
1134214828	JOE LAWRENCE WASSON (Individual)	5575 POPLAR AVE STE 218 MEMPHIS, TN 38119 (901) 767-2450		Non-Participating Provider	NO
1134229008	CLAY THOMAS NELSON (Individual)	871 MOUNT MORIAH RD MEMPHIS, TN 38117 (901) 682-4366	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134291149	CHRISTINA TREHLET ROSENTHAL (Individual)	4730 RIVERDALE RD SUITE 3 MEMPHIS, TN 38141 (901) 758-2127	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1134340219	HARVEY E MATHENY (Individual)	7865 EDUCATORS LN STE. #120 MEMPHIS, TN 38133 (901) 380-7994		Non-Participating Provider	NO
1134351216	ROBERT NEAL BLAIR (Individual)	7535 POPLAR AVE MEMPHIS, TN 38138 (901) 754-4200	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 BlueCross BlueShield of Tennessee Guardian	Non-Participating Provider	NO
1134651219	ERIC GERLACH (Individual)	3890 AUSTIN PEAY HWY MEMPHIS, TN 38128 (901) 373-3894	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 BridgeSpan Health Company Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1144089327	DOVE FAMILY DENTISTRY - RALEIGH PLLC (Organization)	4283 RALEIGH MILLINGTON RD MEMPHIS, TN 38128 (901) 587-0828	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1144211947	DERRICK D. PAYNE (Individual)	4466 ELVIS PRESLEY BLVD 241 MEMPHIS, TN 38116 (901) 396-7097	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 BlueCross BlueShield of Tennessee Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1144234261	TONYA M ANDERSON (Individual)	3719 RIVERDALE RD MEMPHIS, TN 38115 (901) 365-2000	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1144433210	MARK RANDALL PATTERS (Individual)	875 UNION AVE UNIV. OF TENNESSEE, COLLEGE OF DENTISTRY MEMPHIS, TN 38163 (901) 448-7686		Non-Participating Provider	NO
1144439308	MARLIN FRANKLIN DUFF (Individual)	875 UNION AVENUE #N403 MEMPHIS, TN 38163 (901) 448-6494		Non-Participating Provider	NO
1144456427	SCOTT A WEISKOPF (Individual)	1661 AARON BRENNER DR STE 105 MEMPHIS, TN 38120 (901) 756-8475	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Molina Healthcare Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1154345882	CHRISTINE LEE GETMAN (Individual)	2705 APPLING RD STE 101 MEMPHIS, TN 38133 (901) 388-9110	Humana	Non-Participating Provider	NO
1154384063	ROBERT R GOLDWIN (Individual)	540 S MENDENHALL RD SUITE 8 MEMPHIS, TN 38117 (901) 682-5782	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1154534253	RUSSELL O GILPATRICK (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-6202		Non-Participating Provider	NO
1154540912	JAMES GILBERT AVERY (Individual)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	YES
1154737070	JEFFREY DAVID AMSTUTZ (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 701-2720	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
1164688180	O T SYKES (Individual)	1399 AIRWAYS BLVD SUITE 6 MEMPHIS, TN 38114 (901) 323-7613	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas DentaQuest Insurance Company Inc- TN	Non-Participating Provider	NO
1164710331	KURT M. HOLMES DDS PC HEALTHY SMILES DENTISTRY, P.C. (Organization)	3285 HACKS CROSS RD SUITE 103 & 104 MEMPHIS, TN 38125 (901) 619-0347		Non-Participating Provider	NO
1174183602	FORREST RAY DRIVER (Individual)	920 MADISON AVE STE 447 MEMPHIS, TN 38103 (615) 327-9400	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 BlueCross BlueShield of Tennessee DentaQuest Insurance Company Inc- TN Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1174511604	MICHAEL D. BLEN (Individual)	6363 POPLAR AVE SUITE 110 MEMPHIS, TN 38119 (901) 415-2536	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 BlueCross BlueShield of Tennessee EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1174526768	CHRIS C ROWLAND (Individual)	ST. JUDE CHILDREN'S RESEARCH HOSPITAL 332 N LAUDERDALE ST., MS 0515 MEMPHIS, TN 38105 (901) 495-3006	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1174530729	JOHN WEST LEWIS (Individual)	1030 JEFFERSON AVE. MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1174652671	MITCHEL S GODAT (Individual)	6268 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3770	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1174852164	DELOIS ROBERSON (Individual)	2781 AIRWAYS BLVD MEMPHIS, TN 38132 (901) 527-5359	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 BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1184083420	DOVE FAMILY DENTISTRY - BENNINGTON PLLC (Organization)	5144 RIVERDALE RD STE 106 MEMPHIS, TN 38141 (972) 869-3789	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1184156234	WILLIAM TRAVIS KING (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 701-2720	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1184385783	AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC (Organization)	5270 POPLAR AVE STE 101 MEMPHIS, TN 38119 (901) 255-3459	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1184613176	WILLIAM WATSON (Individual)	814 JEFFERSON AVE MEMPHIS, TN 38105 (901) 545-8801		Non-Participating Provider	NO
1184701310	JON CARL STANFORD (Individual)	3596 PARK AVE MEMPHIS, TN 38111 (901) 458-2617	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1184732737	M WADE CLAYTON (Individual)	2705 APPLING RD SUITE 101 MEMPHIS, TN 38133 (901) 388-9110	Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	NO
1184869638	STANLEY PATRICK WERNER (Individual)	6425 QUAIL HOLLOW RD SUITE 201 MEMPHIS, TN 38120 (901) 767-5415		Non-Participating Provider	NO
1194010926	MOJDEH DEHGHAN (Individual)	875 UNION AVE SUITE N 402 MEMPHIS, TN 38103 (901) 448-1314	Humana	Non-Participating Provider	NO
1194706697	JEFFREY POPE FRIZZELL (Individual)	4177 MACON RD MEMPHIS, TN 38122 (901) 454-6103	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 BlueCross BlueShield of Tennessee	Non-Participating Provider	YES
1194714014	RODRIC LEDELL MILLER (Individual)	5124 STAGE RD MEMPHIS, TN 38134 (901) 373-5433	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1194715615	JAMES PATRICK BARNES (Individual)	2625 APPLING RD MEMPHIS, TN 38133 (901) 373-4344	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 BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1194717256	GILBERT G STEIN (Individual)	1715 KIRBY PKWY SUITE 101 MEMPHIS, TN 38120 (901) 755-1177	Blue Cross and Blue 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
1194848556	KELLI MULHOLLEN DUMAS (Individual)	50 N FRONT ST STE 870 MORGAN KEEGAN TOWER MEMPHIS, TN 38103 (901) 526-9111	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Guardian WellCare of North Carolina	Maybe Accepts Medicare	YES
1194850404	WILLIAM GRIFFIN PARRIS (Individual)	4700 POPLAR AVE SUITE 435 MEMPHIS, TN 38117 (901) 683-6387		Non-Participating Provider	NO
1194946798	RAMON GALVAN (Individual)	875 UNION AVE UTHSC DENTAL SCHOOL MEMPHIS, TN 38103 (901) 448-6387		Non-Participating Provider	NO
1205059995	CHERYL JACKSON (Individual)	4646 POPLAR AVE STE. 514 MEMPHIS, TN 38117 (901) 763-3601	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	NO
1205138104	AFFORDABLE DENTURES - MEMPHIS, P.C. (Organization)	3481 POPLAR AVE MEMPHIS, TN 38111 (901) 320-9301		Non-Participating Provider	NO
1205240157	ELIZABETH SHOCKLEY (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 701-2720	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1215012430	UNIVERSITY OF TENNESSEE (Organization)	875 UNION AVE N-328 DUNN MEMPHIS, TN 38103 (901) 448-6236		Non-Participating Provider	NO
1215078589	JACK WOHRMAN (Individual)	6363 POPLAR AVE SUITE 430 MEMPHIS, TN 38119 (901) 761-3040	BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1215935614	HIGHLAND PARK DENTAL CENTER, PC (Organization)	845 S HIGHLAND ST MEMPHIS, TN 38111 (901) 323-8488		Non-Participating Provider	NO
1225124761	BRYAN TIMOTHY SCHMIDT (Individual)	440 N FRONT ST STE 103 MEMPHIS, TN 38105 (901) 523-8614	Blue Cross and Blue 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
1225132590	HARRIS E WILLIAMS (Individual)	6621 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 362-6103	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1225143720	JOHN SHRADER CANNON (Individual)	1661 AARON BRENNER DR STE 105 MEMPHIS, TN 38120 (901) 756-8475	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1225168925	JAMES FRANKLIN PROCTOR (Individual)	1655 INTERNATIONAL DR SUITE 203 MEMPHIS, TN 38120 (901) 821-9852	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1225262884	ANASTASIOS KARYDIS (Individual)	875 UNION AVE C511 MEMPHIS, TN 38103 (901) 448-6279		Non-Participating Provider	NO
1225706559	POOJA AJITSANKARDAS (Individual)	875 UNION AVE COLLEGE OF DENTISTRY 5TH FLOOR SUITE S507 MEMPHIS, TN 38163 (901) 448-2827		Non-Participating Provider	NO
1235127465	RICHARD DEWEY MEEKINS (Individual)	2390 LAMAR AVE MEMPHIS, TN 38114 (901) 743-0704	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	NO
1235231580	STEPHEN SCOTT WILLIAMS (Individual)	5112 STAGE RD STE 4 MEMPHIS, TN 38134 (901) 372-7906	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1235240722	MARK A LACKEY (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-1883		Non-Participating Provider	NO
1235242413	SYDNEY H STEIN (Individual)	910 MADISON AVE STE 608 MEMPHIS, TN 38163 (901) 448-6476		Non-Participating Provider	NO
1235308537	JOAN C. SCHMITT (Individual)	5366 ESTATE OFFICE DR MEMPHIS, TN 38119 (901) 682-1501	Delta Dental of North Carolina Guardian	Non-Participating Provider	NO
1235352543	LESLIE R GORDON (Individual)	814 JEFFERSON AVE MEMPHIS, TN 38105 (901) 544-7597		Non-Participating Provider	NO
1245308337	JASINA CAMILLE WINTON (Individual)	1000 HAYNES ST MEMPHIS, TN 38114 (901) 515-5257		Non-Participating Provider	NO
1245309467	STEVEN MICAH PARKHURST (Individual)	722 CROSSOVER LN MEMPHIS, TN 38117 (901) 683-4369		Opted out of Medicare	YES
1245316017	KENNETH MARK ANDERSON (Individual)	875 UNION AVE ROOM C309 MEMPHIS, TN 38163 (901) 448-5876	BlueCross BlueShield of Tennessee	Non-Participating Provider	YES
1245368422	AVERY AND MEADOWS, DDS, PC (Organization)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	NO
1245370568	MICHAEL J DEAN (Individual)	875 UNION AVE C402 MEMPHIS, TN 38163 (509) 581-8283		Non-Participating Provider	NO
1245374271	MARC A. COHEN (Individual)	5356 ESTATE OFFICE DR SUITE 1 MEMPHIS, TN 38119 (901) 680-0823		Non-Participating Provider	YES
1245403708	KATHERINE A. DECOLIBUS, DDS PLLC (Organization)	4132 POPLAR AVE MEMPHIS, TN 38117 (901) 680-0377		Non-Participating Provider	NO
1245488576	VICTORIA SIMONE MATHIS (Individual)	5124 STAGE RD SUITE C2 MEMPHIS, TN 38134 (901) 373-5433	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1245725035	ROBERT ELLISON (Individual)	113 HARBOR TOWN SQ STE 203 MEMPHIS, TN 38103 (901) 453-6081	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1255320248	ANNE HILL (Individual)	814 JEFFERSON AVE MEMPHIS, TN 38105 (901) 545-8815		Non-Participating Provider	NO
1255760385	TENNESSEE DENTAL PROFESSIONALS PC AUDUBON DENTAL GROUP (Organization)	370 COLONIAL ROAD 3 MEMPHIS, TN 38117 (901) 853-9800	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1265084743	BREION DOUGLAS (Individual)	2900 KIRBY RD MEMPHIS, TN 38119 (901) 755-7392	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1265279822	COLIN ABBOTT (Individual)	1010 JUNE RD STE 105 MEMPHIS, TN 38119 (901) 761-1515	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1265422810	LOVELACE P GIPSON (Individual)	1216 THOMAS ST MEMPHIS, TN 38107 (901) 525-3800		Non-Participating Provider	NO
1265502413	H FRANKLIN MILLER DDS PC (Organization)	843 MOUNT MORIAH ROAD MEMPHIS, TN 38117 (901) 683-2467		Non-Participating Provider	NO
1265517684	RICHARD JEU (Individual)	1799 S 3RD ST STE B MEMPHIS, TN 38109 (901) 774-9602	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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1265557425	PETER TRIMBLE (Individual)	3740 PARK AVE MEMPHIS, TN 38111 (901) 458-9577	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana TRUASSURE INSURANCE COMPANY WellCare of North Carolina	Non-Participating Provider	NO
1265567556	JAMES OFARRELL SHOEMAKER (Individual)	1036 OAKHAVEN RD MEMPHIS, TN 38119 (901) 374-9600		Non-Participating Provider	NO
1265578579	PHILIP WITHERSPOON (Individual)	3890 AUSTIN PEAY HWY MEMPHIS, TN 38128 (901) 373-3894	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
1265694590	JEFFREY HAROLD BROOKS (Individual)	875 UNION AVE ROOM N328 MEMPHIS, TN 38103 (901) 448-6236	BlueCross BlueShield of Tennessee Cigna Healthcare	Accepts Medicare	YES
1275035966	RACHEL YOUNG REEDY (Individual)	59 S IDLEWILD ST MEMPHIS, TN 38104 (901) 726-9525		Non-Participating Provider	NO
1275251860	KARLA ALEJANDRA MEJIA DUBEROW (Individual)	5124 STAGE RD MEMPHIS, TN 38134 (901) 373-5433	Guardian Humana	Non-Participating Provider	NO
1275552176	JEFFREY LYNN WINGO (Individual)	1030 JEFFERSON AVE MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1275602716	KURT MONEK HOLMES (Individual)	7948 WINCHESTER RD STE 108 MEMPHIS, TN 38125 (901) 624-0440	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1275799561	JOHN D. TOSI (Individual)	5628 MURRAY RD MEMPHIS, TN 38119 (901) 761-2550	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1275839318	HMO INCORPARATED HEDGEROW FAMILY DENTISTRY (Organization)	6757 E SHELBY DR MEMPHIS, TN 38141 (901) 363-3144		Non-Participating Provider	NO
1275917395	BRITTNEY MARQEE HALLIBURTON (Individual)	5124 STAGE RD MEMPHIS, TN 38134 (901) 373-5433	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1275929432	JENNIFER JO WADE (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 701-2720	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1285664540	JOHN WILLIAM PAYONK (Individual)	1000 BROOKFIELD RD #104 MEMPHIS, TN 38119 (901) 767-3259		Non-Participating Provider	NO
1285808360	WILLIAM STEVEN JASPER (Individual)	7825 WINCHESTER RD STE 115 MEMPHIS, TN 38125 (901) 752-1290	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1295000594	EDDIE L BURTON (Individual)	875 UNION AVE SUITE N228 MEMPHIS, TN 38163 (901) 448-6611		Non-Participating Provider	NO
1295098226	RYAN KEITH DAGEN (Individual)	5180 PARK AVE STE 310 MEMPHIS, TN 38119 (901) 685-1152	Blue Cross and Blue 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 Guardian Humana Molina Healthcare	Non-Participating Provider	YES
1295099224	JULIA ANN PRINCE (Individual)	6250 POPLAR AVE MEMPHIS, TN 38119 (901) 681-0011	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	YES
1295716355	IRVING CHERNY (Individual)	920 ESTATE DR SUITE #4 MEMPHIS, TN 38119 (901) 685-9921	Guardian	Non-Participating Provider	NO
1295719532	MICHAEL DALE SHIRLEY (Individual)	4302 SUMMER AVE MEMPHIS, TN 38122 (901) 683-3849	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1295821411	MARY ANNE AUBERTIN (Individual)	910 MADISON AVE SUITE 608 MEMPHIS, TN 38163 (901) 448-6476	Guardian Humana	Non-Participating Provider	NO
1295854917	VINCENT JARONE PRICE (Individual)	1440 E SHELBY DR SUITE# 5 MEMPHIS, TN 38116 (901) 332-8729	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 BlueCross BlueShield of Tennessee EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295862068	BRADLEY METCALF HARRIS (Individual)	1755 KIRBY PKWY SUITE 103 MEMPHIS, TN 38120 (901) 767-0180	Guardian Humana	Non-Participating Provider	NO
1306006986	ROBERT PERSON LANE (Individual)	4561 MILLBRANCH RD STE 1 MEMPHIS, TN 38116 (901) 396-5700	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1306276431	ROBERT E. WOHRMAN (Individual)	1711 KIRBY PKWY MEMPHIS, TN 38120 (901) 591-1526	Guardian	Non-Participating Provider	YES
1306391081	SARAH ELIZABETH AGUIRRE (Individual)	875 UNION AVE # C316 MEMPHIS, TN 38103 (901) 488-8659	Guardian	Non-Participating Provider	NO
1306865795	DANIEL EDWIN BURAS (Individual)	1030 JEFFERSON AVE MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1306911391	DANIEL F. TYLKA (Individual)	875 UNION AVE UTHSC COLLEGE OF DENTISTRY - UDFP MEMPHIS, TN 38163 (901) 448-6930		Non-Participating Provider	NO
1316013337	GARY DAVIS SIMPSON (Individual)	1707 BENDER RD MEMPHIS, TN 38116 (901) 346-2514	Humana	Non-Participating Provider	NO
1316014624	TOD S SINGER (Individual)	665 VALLEYBROOK DRIVE MEMPHIS, TN 38120 (901) 210-9300	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 Guardian	Non-Participating Provider	NO
1316172497	ADAMS BROWNE DENTAL ASSOCIATES (Organization)	1128 WINCHESTER RD STE 108 MEMPHIS, TN 38116 (901) 332-7111	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1316261191	TERRY M TROJAN (Individual)	875 UNION AVE S-301 MEMPHIS, TN 38103 (901) 448-6214		Non-Participating Provider	NO
1316617053	JACOB COLE STEGEMAN (Individual)	6611 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 363-8192	Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1326015512	MICHAEL KYLE SAVAGE (Individual)	730 CROSSOVER LN MEMPHIS, TN 38117 (901) 683-4369		Opted out of Medicare	YES
1326131558	GORDON MOORE (Individual)	5498 POPLUR AVE SUITE C1 MEMPHIS, TN 38119 (901) 682-9631	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1326281726	HEART SMILES, LLC (Organization)	6223 MT MORIAH RD EXT MEMPHIS, TN 38115 (901) 794-3391	UnitedHealthcare	Non-Participating Provider	NO
1326344458	COVINGTON PIKE DENTAL CLINIC (Organization)	3594 COVINGTON PIKE MEMPHIS, TN 38128 (901) 377-6800		Non-Participating Provider	NO
1326404963	NICHOLAS CORNELL BROOKS (Individual)	2410 CHELSEA AVE MEMPHIS, TN 38108 (901) 458-1118	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Guardian Humana Paramount Paramount Dental WellCare of North Carolina	Non-Participating Provider	YES
1326419581	DAVID KIMLER DENTISTRY PLLC (Organization)	2900 S PERKINS RD MEMPHIS, TN 38118 (901) 362-9995		Non-Participating Provider	NO
1336286137	JOE DEAN O'NEAL (Individual)	1331 UNION AVE STE 1225 MEMPHIS, TN 38104 (901) 276-7314	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1336513597	PREMIUM CARE DENTISTRY (Organization)	1331 UNION AVE STE 1240 MEMPHIS, TN 38104 (901) 730-1321		Non-Participating Provider	NO
1346268091	PLAZA DENTAL OFFICES PC (Organization)	3468 PLAZA AVE MEMPHIS, TN 38111 (901) 452-1103	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN WellCare of North Carolina	Non-Participating Provider	NO
1346339645	JEFFERY DOLBERRY (Individual)	6747 E SHELBY DR MEMPHIS, TN 38141 (901) 794-8211	Guardian	Non-Participating Provider	NO
1356125587	BREA NICOLE FLEMING (Individual)	2849 N GERMANTOWN PKWY MEMPHIS, TN 38133 (901) 248-4732	Anthem Blue Cross and Blue Shield BEST Life Cigna Healthcare Delta Dental of Michigan EMI Health Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356305569	JAMES M. CHRISTIAN (Individual)	875 UNION AVENUE THE UNIVERSITY OF TENNESSEE MEMPHIS, TN 38133 (901) 448-6236	BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	YES
1356470835	LESLEY H BINKLEY (Individual)	6268 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3770		Non-Participating Provider	YES
1356497861	STEVEN C SIMMERMAN (Individual)	1707 KIRBY PARKWAY SUITE 100 MEMPHIS, TN 38120 (901) 756-8812		Non-Participating Provider	NO
1356757611	JAAFAR ACHKAR (Individual)	3481 POPLAR AVE MEMPHIS, TN 38111 (860) 519-2191	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Ohio Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1356775134	MICHAEL D. BLEN DDS PC (Organization)	6363 POPLAR AVE STE 110 MEMPHIS, TN 38119 (901) 415-2536		Non-Participating Provider	NO
1356891675	MONUMENT DENTAL ANESTHESIA PLLC (Organization)	120 S GROVE PARK RD MEMPHIS, TN 38117 (901) 491-0971		Non-Participating Provider	NO
1366094153	SHUYA BI (Individual)	2595 CENTRAL AVE MEMPHIS, TN 38104 (901) 842-3171	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 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 PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1366430647	LAWRENCE W WEEDA (Individual)	875 UNION AVE ROOM N-328 MEMPHIS, TN 38163 (901) 448-6236		Non-Participating Provider	NO
1366500977	LAYNE C LEVY (Individual)	4688 AMERICAN WAY MEMPHIS, TN 38118 (901) 362-7232		Non-Participating Provider	NO
1366502148	SHARIKIA S HARRIS (Individual)	360 E H CRUMP BLVD MEMPHIS, TN 38126 (901) 261-2053		Non-Participating Provider	NO
1366782906	STEPHEN LINDSEY (Individual)	5180 PARK AVE STE 310 MEMPHIS, TN 38119 (901) 685-1152	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 BlueCross BlueShield of Tennessee Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376126870	COREY ACOSTA (Individual)	6611 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 363-8192	Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Florida Combined Life Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1376157396	JASON AUSTIN GLICK (Individual)	3594 COVINGTON PIKE MEMPHIS, TN 38128 (631) 877-0239		Non-Participating Provider	NO
1376388264	MARENA LOCKE COUNCE (Individual)	560 COLONIAL RD STE 100 MEMPHIS, TN 38117 (901) 680-6881	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376613711	SCOTT ALAN EDWARDS (Individual)	266 S CLEVELAND ST SUITE 103 MEMPHIS, TN 38104 (901) 728-6515	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	YES
1376686899	JODI E RUMP (Individual)	99 S MAIN ST MEMPHIS, TN 38103 (901) 527-0716	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 BlueCross BlueShield of Tennessee Guardian	Non-Participating Provider	YES
1376910638	STACIE ANDERSON (Individual)	1701 BENDER RD MEMPHIS, TN 38116 (901) 396-3674		Non-Participating Provider	NO
1376939645	MATTHEW BREIT (Individual)	1251 WESLEY DR STE 101 MEMPHIS, TN 38116 (901) 398-0793	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1376957357	BRETT MICHAEL DAGEN (Individual)	2093 PEABODY AVE MEMPHIS, TN 38104 (901) 359-5343	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1376962613	JOHN CHRISTOPHER SWEARINGEN (Individual)	780 RIDGE LAKE BLVD STE 101 MEMPHIS, TN 38120 (901) 682-8431	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	YES
1376980706	BRENTON EDWARD GLASSELL (Individual)	5866 RIDGE BEND RD STE 1 MEMPHIS, TN 38120 (901) 767-7370	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 Guardian	Non-Participating Provider	NO
1386025963	BRETT ALLEN WILSON (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-6233	Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Cigna Healthcare	Accepts Medicare	YES
1386318285	BRITTANY WILLIS (Individual)	3890 AUSTIN PEAY HWY MEMPHIS, TN 38128 (901) 805-5797	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama 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 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 PPO Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1386454585	MID-SOUTH TMJ & SLEEP APNEA DENTAL TREATMENT CENTER, LLC (Organization)	795 RIDGE LAKE BLVD STE 106 MEMPHIS, TN 38120 (901) 468-7088		Non-Participating Provider	NO
1386700839	LARRY D DORMOIS (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6240	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1386725935	MOUNIR KHARCHAF (Individual)	910 MADISON AVE SUITE 608 MEMPHIS, TN 38163 (901) 448-6476	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1386809788	ALFRED R BROWN (Individual)	2682 LAMAR AVE MEMPHIS, TN 38114 (901) 454-1200		Non-Participating Provider	NO
1386815462	BRAXTON FAMILY DENTISTRY LLC (Organization)	1154 S BELLEVUE BLVD MEMPHIS, TN 38106 (901) 775-0870	DentaQuest Insurance Company Inc- TN	Non-Participating Provider	NO
1386848638	DRS ALBRIGHT, SMITH & PECK (Organization)	766 S WHITE STATION RD SUITE #1 MEMPHIS, TN 38117 (901) 685-8090	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1386922474	MELODY JEAN PENDLETON GREENE (Individual)	1684 POPLAR AVE MEMPHIS, TN 38104 (901) 861-9668	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1386965655	ZACHARY RAY JOHNSTON (Individual)	10 S BELVEDERE BLVD MEMPHIS, TN 38104 (901) 725-4913	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana	Non-Participating Provider	NO
1386975860	PURFIXSMILE DENTAL INC (Organization)	4250 FARONIA RD MEMPHIS, TN 38116 (901) 414-0350	UnitedHealthcare	Non-Participating Provider	NO
1396031043	VANCE WESLEY TUTOR (Individual)	766 S. WHITE STATION RD. STE 1 MEMPHIS, TN 38117 (901) 685-8090	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 Alabama Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1396299830	ANGELA GULLARD (Individual)	875 UNION AVE ADVANCED PROSTHODONTICS PROGRAM MEMPHIS, TN 38103 (256) 603-3791		Non-Participating Provider	NO
1396820312	FELIX SPRINGFIELD (Individual)	780 RIDGE LAKE BLVD STE 201 MEMPHIS, TN 38120 (901) 685-1003		Non-Participating Provider	NO
1396838496	STACIE A ARBOR DDS PLLC (Organization)	1451 UNION AVE SUITE 130 MEMPHIS, TN 38104 (901) 272-1065		Non-Participating Provider	NO
1396900866	JOSEPH HALE (Individual)	3890 AUSTIN PEAY HWY MEMPHIS, TN 38128 (901) 373-3894	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 BridgeSpan Health Company Delta Dental PPO DeltaCare USA EMI Health Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health	Non-Participating Provider	YES
1396921557	JOSEPH DANIEL MCFARLAND (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6200	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 Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1407069370	WILLIAM STEVENSON BLEDSOE (Individual)	775 EAST BROOKHAVEN CIRCLE MEMPHIS, TN 38117 (901) 682-3100	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1407094121	PARK STATION DENTAL GROUP (Organization)	5180 PARK AVE SUITE 310 MEMPHIS, TN 38119 (901) 685-1152		Non-Participating Provider	NO
1407586662	NUR SHEIKHAN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6468		Non-Participating Provider	NO
1407826902	DENTALWORKS, DR. DIETZ & ASSOCIATES (AUSTIN PEAY), P.C. (Organization)	3890 AUSTIN PEAY HWY MEMPHIS, TN 38128 (901) 373-3894	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1417026428	JOSEPH FARD DOVE (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 213-9337	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1417046673	JAMES H MEYER (Individual)	5575 POPLAR AVE SUITE 117 MEMPHIS, TN 38119 (190) 176-7525	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Guardian WellCare of North Carolina	Non-Participating Provider	YES
1417048729	CARLO B PIRANI (Individual)	752 NATIONAL ST MEMPHIS, TN 38122 (901) 452-6611	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417296476	WERNER HARUMITI SHINTAKU (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-2845		Non-Participating Provider	NO
1417398553	SHAWNA CLARK (Individual)	5366 MENDENHALL MALL MEMPHIS, TN 38115 (901) 701-2730	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1417575713	IGNATIUS PHILLIP GINSKI (Individual)	4283 RALEIGH MILLINGTON RD MEMPHIS, TN 38128 (901) 633-1657	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 EMI Health Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427038116	MIALIKA KINYA WATKINS (Individual)	1154 S BELLEVUE BLVD MEMPHIS, TN 38106 (901) 775-0870	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1427106640	MARK EDWARD WIYGUL (Individual)	5340 POPLAR AVE SUITE 2 MEMPHIS, TN 38119 (901) 683-7771	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427417070	JESSICA NICOLE HAGAN (Individual)	875 UNION AVE MEMPHIS, TN 38163 (510) 566-3802		Non-Participating Provider	NO
1427420561	UNIVERSITY OF TENNESSEE DURABLE MEDICAL EQUIPMENT (Organization)	875 UNION AVE. SUITE C303 MEMPHIS, TN 38103 (901) 448-1463		Non-Participating Provider	NO
1427431261	JESSICA JORDAN (Individual)	1350 CONCOURSE AVE STE 446 MEMPHIS, TN 38104 (901) 881-1234	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427471382	ORAL & MAXILLOFACIAL SURGERY CLINIC INC. (Organization)	910 MADISON AVE STE 710 MEMPHIS, TN 38103 (901) 526-3988		Non-Participating Provider	NO
1427494699	BERNARD JACOB BLEN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 491-8178		Non-Participating Provider	NO
1427944677	MARK WILLIAM MASSEY (Individual)	1350 CONCOURSE AVE STE 142 MEMPHIS, TN 38104 (901) 604-1794		Non-Participating Provider	NO
1437221553	WILLIAM F SLAGLE (Individual)	910 MADISON AVE SUITE 608 MEMPHIS, TN 38163 (901) 448-6476		Non-Participating Provider	NO
1437444320	NISHEL PATEL (Individual)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040	Cigna Healthcare Guardian	Non-Participating Provider	NO
1447231253	JOSEPH LAWRENCE MCRAE (Individual)	5565 MURRAY RD MEMPHIS, TN 38119 (901) 767-0088	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Opted out of Medicare	YES
1447233010	HAROLD STEVEN FERGUS (Individual)	755 E BROOKHAVEN CIR MEMPHIS, TN 38117 (901) 682-0465		Non-Participating Provider	NO
1447309968	WILLIAMS E. FERGUSON (Individual)	4283 RALEIGH MILLINGTON RD MEMPHIS, TN 38128 (901) 372-1221	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1447332853	JAMES F SIMON (Individual)	910 MADISON AVE STE 608 MEMPHIS, TN 38163 (901) 448-6746		Non-Participating Provider	NO
1447547716	JEU ENTERPRISES, INC (Organization)	1799 S 3RD ST STE B MEMPHIS, TN 38109 (901) 774-9602		Non-Participating Provider	NO
1447570858	JONATHAN WILLIAM HALL (Individual)	2953 BROAD AVE CHRIST COMMUNITY HEALTH SERVICES INC MEMPHIS, TN 38112 (901) 271-6050	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
1447581269	GARY TRENT WILSON (Individual)	6250 POPLAR AVE MEMPHIS, TN 38119 (901) 681-0011		Non-Participating Provider	YES
1447692264	DORY SELLERS (Individual)	4515 POPLAR AVENUE SUITE 406 MEMPHIS, TN 38117 (901) 683-9800	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 BlueCross BlueShield of Tennessee Humana Renaissance Dental	Non-Participating Provider	NO
1447853478	DARREN TANG NHAN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (425) 606-1561	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 Paramount Paramount Dental	Non-Participating Provider	YES
1457342362	SOLOMON K CHRISTIAN (Individual)	3037 S PERKINS RD MEMPHIS, TN 38118 (901) 566-1414	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1457485492	EDWARD MAURICE MACK (Individual)	5180 PARK AVE SUITE 300 MEMPHIS, TN 38119 (901) 683-2221	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana	Opted out of Medicare	YES
1457579872	DAVIDA A. HOLLERMAN D.M.D., P.C. (Organization)	525 N MAIN ST MEMPHIS, TN 38105 (877) 664-8664	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1457612541	MELANIE SHAW NESBITT (Individual)	3285 HACKS CROSS RD STE 101 MEMPHIS, TN 38125 (901) 759-0970	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1457717381	HIGGINBOTHAM DENTAL GROUP, PLLC HIGGINBOTHAM FAMILY DENTAL (Organization)	113 HARBOR TOWN SQ STE 203 MEMPHIS, TN 38103 (901) 453-6081	Aetna CVS Health	Non-Participating Provider	NO
1457781379	SHELDON M.GRAVES PEDIATRIC DENTISTRY (Organization)	4137 KIRBY PKWY SUITE 4 MEMPHIS, TN 38115 (901) 433-0701		Non-Participating Provider	NO
1457793929	ACADIA HELATH LLC (Organization)	1000 RIDGEWAY LOOP RD SUITE 203 MEMPHIS, TN 38120 (901) 684-1082		Non-Participating Provider	NO
1467068569	CROSSTOWN DENTAL GROUP LLC (Organization)	1350 CONCOURSE AVE STE 446 MEMPHIS, TN 38104 (901) 881-1234		Non-Participating Provider	NO
1467163824	GREGORY T. WILKINSON DDS PC (Organization)	5610 MURRAY AVE MEMPHIS, TN 38119 (901) 767-3390		Non-Participating Provider	NO
1467435198	SONIA DENISE BRAXTON (Individual)	1154 S BELLEVUE BLVD MEMPHIS, TN 38106 (901) 775-0870	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	NO
1467522474	EDWARD SIDNEY LANE (Individual)	5565 MURRAY RD MEMPHIS, TN 38119 (901) 767-8152	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	NO
1467525923	MARTIN L DONALDSON (Individual)	875 UNION AVE RM S219 MEMPHIS, TN 38163 (901) 448-4944		Non-Participating Provider	NO
1467562314	DENTAL EXCELLENCE PC (Organization)	5180 PARK AVE STE 310 MEMPHIS, TN 38119 (901) 685-1152		Non-Participating Provider	NO
1467577304	JERRY ALVIN MIDYETT (Individual)	4177 MACON RD MEMPHIS, TN 38122 (901) 452-5277	Blue Cross and Blue 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
1467602052	ASHLEY SAMORIA WILLIAMS (Individual)	4520 ELVIS PRESLEY BLVD MEMPHIS, TN 38116 (901) 332-8080	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467671511	JOE. C HARRIS,DDS,PC (Organization)	1711 MADISON AVE MEMPHIS, TN 38104 (901) 725-4371		Non-Participating Provider	NO
1467675330	PARADIGM DENTAL CENTER LLC CHRISTINA ROSENTHAL DBA PARADIGM DENTAL CENTER (Organization)	4730 RIVERDALE RD SUITE 3 MEMPHIS, TN 38141 (901) 758-2127		Non-Participating Provider	NO
1477569192	MARRIO RHODAN THOMAS (Individual)	670 COLONIAL SUITE 6 DR. MARRIO SMILES PLLC MEMPHIS, TN 38117 (901) 537-0077	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 BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1477569739	ELIZABETH HESTER LEE (Individual)	5180 PARK AVE SUITE 280 MEMPHIS, TN 38119 (901) 763-1600	Blue Cross and Blue 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
1477619914	SEAN KEITH PRINE (Individual)	4177 MACON RD. MEMPHIS, TN 38122 (901) 454-6911	Blue Cross and Blue 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
1477621837	DIERDRE D. STURGIS (Individual)	5180 PARK AVE SUITE 260 MEMPHIS, TN 38119 (901) 683-6770		Non-Participating Provider	NO
1477651545	WALLACE WYMON DYKE (Individual)	4515 POPLAR AVE STE. 406 MEMPHIS, TN 38117 (901) 683-9800	Blue Cross and Blue 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
1477765295	THEANDREW CLAYBORN (Individual)	1440 E SHELBY DR SUITE #5 MEMPHIS, TN 38116 (901) 332-8729	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1487635041	GARY TRENT WILSON (Individual)	5565 MURRAY RD MEMPHIS, TN 38119 (901) 767-0088	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1487713434	SALAZAR DENTAL GROUP LLC (Organization)	6779 GREAT OAKS RD SUITE 201 MEMPHIS, TN 38138 (901) 753-0404	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1487713681	STEVE D BALLARD (Individual)	2900 KIRBY RD SUITE 12 MEMPHIS, TN 38119 (901) 756-8976	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1487723094	UNIVERSITY OF TENNESSEE (Organization)	875 UNION AVE ROOM C309 MEMPHIS, TN 38163 (901) 448-5876		Non-Participating Provider	NO
1487826806	DAVIDA ANN HOLLERMAN (Individual)	525 N MAIN ST MEMPHIS, TN 38105 (877) 664-8664	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1487916391	DAVID RANDALL HARTMAN (Individual)	3362 S 3RD ST MEMPHIS, TN 38109 (901) 271-6671	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 BlueCross BlueShield of Tennessee Humana Renaissance Dental	Non-Participating Provider	YES
1497058788	DENTAL PRACTICE GROUP OF TENNESSEE, PLLC DENTAL PARTNERS - BOWLING GREEN (Organization)	717 S WHITE STATION RD STE 8 MEMPHIS, TN 38117 (901) 747-4611	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1497079032	EAST MEMPHIS DENTAL GROUP (Organization)	5336 ESTATE OFFICE DR SUITE 1 MEMPHIS, TN 38119 (901) 681-0408		Non-Participating Provider	NO
1497140008	TENNESSEE DENTAL PROFESSIONALS PC QUAIL HOLLOW FAMILY DENTISTRY (Organization)	6425 N QUAIL HOLLOW RD STE 102 MEMPHIS, TN 38120 (217) 540-5170	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1497283691	DAVID CALVIN HARRIS (Individual)	6611 KIRBY CENTER CV # 6611 MEMPHIS, TN 38115 (901) 363-8192	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 Cigna Healthcare Delta Dental of Arkansas Guardian Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1497361596	CROSSTOWN DENTAL GROUP HIGHLAND ROW LLC (Organization)	431 S HIGHLAND ST STE 115 MEMPHIS, TN 38111 (901) 513-5321		Non-Participating Provider	NO
1497908354	ALL ABOUT KIDS PEDIATRIC DENTISTRY (Organization)	3285 HACKS CROSS RD STE 101 MEMPHIS, TN 38125 (901) 759-0970	DentaQuest Insurance Company Inc- TN UnitedHealthcare	Non-Participating Provider	NO
1497928485	TODDRICK SMITH (Individual)	6611 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 363-8192	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508026840	JACKIE DOYLE DRAKE (Individual)	1030 JEFFERSON AVE MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1508444035	LAUREN VIEIRA (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 842-3171	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1508836941	JOE C GREER (Individual)	2829 LAMAR AVE MEMPHIS, TN 38114 (901) 744-4990	DentaQuest Insurance Company Inc- TN Humana	Non-Participating Provider	NO
1508958398	PIRANI & NUNNELEE DDS PLC CORP (Organization)	752 NATIONAL ST MEMPHIS, TN 38122 (901) 452-6611		Non-Participating Provider	NO
1508986860	J WHITLEY WILLS (Individual)	59 SOUTH IDLEWILD STREET MEMPHIS, TN 38104 (901) 726-9525	Cigna Healthcare	Non-Participating Provider	NO
1508988254	MAHBOUBEH SAYED TAGHAVI (Individual)	5126 SUMMER AVE SUITE 101 MEMPHIS, TN 38122 (901) 818-1990	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 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 DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1518037050	GREGORY CARROLL KEMP (Individual)	266 S CLEVELAND ST SUITE 103 MEMPHIS, TN 38104 (901) 725-1425	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	YES
1518092758	JULIUS FRED CASE (Individual)	5565 MURRAY RD MEMPHIS, TN 38119 (901) 682-8437	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 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 WellCare of North Carolina	Non-Participating Provider	NO
1518122233	ASHANTI D'METRA BRAXTON (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-2211		Non-Participating Provider	NO
1518149780	WEBER WINSTON MANNING (Individual)	990 JUNE RD MEMPHIS, TN 38119 (901) 767-2290	Guardian	Non-Participating Provider	NO
1518283209	DR. PINKSTON & DAWSON DENTAL OFFICE (Organization)	2348 PARK AVE MEMPHIS, TN 38114 (901) 327-6166		Non-Participating Provider	NO
1518326792	MELLINA ERNESTINA DELGADO (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-2242	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1518603265	DOVE FAMILY DENTISTRY-WHITEHAVEN PLLC (Organization)	4097 ELVIS PRESLEY BLVD MEMPHIS, TN 38116 (901) 425-9449	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN WellCare of North Carolina	Non-Participating Provider	NO
1518900745	STUEART L HUDSMITH (Individual)	3445 POPLAR AVE #11 MEMPHIS, TN 38111 (901) 458-0700		Non-Participating Provider	NO
1518956945	SAMUEL L WATTS (Individual)	5101 SANDERLIN AVE SUITE 108 MEMPHIS, TN 38117 (901) 767-6320	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 BlueCross BlueShield of Tennessee EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1528131414	JOSE LUIS SALAZAR (Individual)	6799 GREAT OAKS RD SUITE 201 MEMPHIS, TN 38138 (901) 753-0404	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1528133352	CHARLES ZEL PLESOFSKY (Individual)	4515 POPLAR AVE SUITE 300 MEMPHIS, TN 38117 (901) 682-3311	Guardian	Non-Participating Provider	NO
1528148392	QUINTON CARTY ROBINSON (Individual)	5180 PARK AVE SUITE 260 MEMPHIS, TN 38119 (901) 683-6770	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1528162930	WEBER W MANNING DDS PC (Organization)	990 JUNE RD MEMPHIS, TN 38119 (901) 767-2290		Non-Participating Provider	NO
1528168044	JEFFREY J RYU (Individual)	6389 N QUAIL HOLLOW RD STE 202 MEMPHIS, TN 38120 (901) 767-3950	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 BlueCross BlueShield of Tennessee Guardian Humana	Non-Participating Provider	NO
1528231172	RICHARD D. MEEKINS DDS,PC (Organization)	2390 LAMAR AVE MEMPHIS, TN 38114 (901) 743-0704		Non-Participating Provider	NO
1528477536	ADAM FITZHUGH (Individual)	6250 POPLAR AVE MEMPHIS, TN 38119 (901) 681-0011	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Alabama Ambetter of Illinois Ambetter of North Carolina Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield 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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Health Advantage Humana Octave Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1528703501	TAYLYN JAYE WILSON PADGETT (Individual)	2861 BROAD AVE MEMPHIS, TN 38112 (901) 842-3161	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	YES
1538183934	JUDITH WILLETT MCGUIRE (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6204		Non-Participating Provider	NO
1538263132	ELLEN PHYLLIS CARTER (Individual)	5180 PARK AVE STE #260 MEMPHIS, TN 38119 (901) 683-5827	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 DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538301411	MOS CORPORATION UNION AVE DENTAL (Organization)	1331 UNION AVE STE 1225 MEMPHIS, TN 38104 (901) 276-7314	DentaQuest Insurance Company Inc- TN	Non-Participating Provider	NO
1538379714	SEXTON ORAL AND MAXILLOFACIAL SURGERY (Organization)	1661 AARON BRENNER DR STE 105 MEMPHIS, TN 38120 (901) 756-8475	BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1538382502	COURTNEY LILLIANNE WILSON (Individual)	3285 HACKS CROSS RD STE 101 MEMPHIS, TN 38125 (901) 759-0970	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538414651	COURTNEY WHITTAKER SNEED (Individual)	3481 POPLAR AVE MEMPHIS, TN 38111 (901) 320-9301		Non-Participating Provider	NO
1538454715	CIMARA FORTES FERREIRA (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-4494	Cigna Healthcare Humana	Non-Participating Provider	NO
1538731351	GRACE KIM (Individual)	2595 CENTRAL AVE MEMPHIS, TN 38104 (901) 842-3160		Non-Participating Provider	NO
1548300155	ROBERT D STOY (Individual)	1234 MARLIN RD MEMPHIS, TN 38116 (901) 398-3321		Non-Participating Provider	NO
1548304132	JAMES E ELLIOTT (Individual)	10 S BELVEDERE BLVD SUITE B MEMPHIS, TN 38104 (901) 276-7042		Non-Participating Provider	NO
1548373228	MICHAEL A MCBRIDE (Individual)	5336 ESTATE OFFICE DR SUITE 1 MEMPHIS, TN 38119 (901) 681-0408		Non-Participating Provider	NO
1548444698	BALLARD FAMILY DENTISTRY L.L.C. (Organization)	2900 KIRBY PARKWAY SUITE 12 MEMPHIS, TN 38119 (901) 756-8976	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1548464886	JAMES B. COCHRAN, DDS, PC (Organization)	1711 MADISON AVE MEMPHIS, TN 38104 (901) 725-4371		Non-Participating Provider	NO
1558020768	BELLANO DENTAL APPLING SOUTH, PLLC (Organization)	2625 APPLING RD MEMPHIS, TN 38133 (901) 373-4344		Non-Participating Provider	NO
1558659516	MACK ENDODONTICS DDS P.C. (Organization)	5180 PARK AVE STE 300 MEMPHIS, TN 38119 (901) 683-2221		Non-Participating Provider	NO
1558848424	JAMES EVAN BAILEY (Individual)	1195 POPLAR AVE MEMPHIS, TN 38105 (901) 722-8445	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Cigna Healthcare Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568024131	MEMPHIS ENDODONTICS, PLC (Organization)	1755 KIRBY PKWY STE 103 MEMPHIS, TN 38120 (901) 737-1927		Non-Participating Provider	NO
1568278489	PDC CLINICAL PLLC (Organization)	717 S WHITE STATION RD STE 7 MEMPHIS, TN 38117 (901) 363-8192		Non-Participating Provider	NO
1568427318	ROBERT LEON PARRISH (Individual)	670 COLONIAL RD SUITE #3 MEMPHIS, TN 38117 (901) 761-5232	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1568442499	CHARLES LADELL THOMPSON (Individual)	4146 SUMMER AVE MEMPHIS, TN 38122 (901) 458-0010		Non-Participating Provider	YES
1578532024	R. KUHEN SMITH (Individual)	766 S WHITE STATION RD SUITE 1 MEMPHIS, TN 38117 (901) 685-8090	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 BlueCross BlueShield of Tennessee Paramount Paramount Dental	Non-Participating Provider	NO
1578614160	BRENT CORIN JOHNSON (Individual)	1216 THOMAS ST MEMPHIS, TN 38107 (901) 525-3800	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1578688479	CLAY GATLIN MIDYETT (Individual)	4177 MACON RD MEMPHIS, TN 38122 (901) 452-5277	Blue Cross and Blue 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
1578872123	SMILE TENNESSEE P.C. (Organization)	5100 POPLAR AVE STE 2700 MEMPHIS, TN 38137 (888) 833-8441		Non-Participating Provider	NO
1588045454	IMPERIAL DENTAL (Organization)	5126 SUMMER AVE 101 MEMPHIS, TN 38122 (901) 818-1990		Non-Participating Provider	NO
1588301105	NHU PHAN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-1461	Cigna Healthcare Guardian	Non-Participating Provider	NO
1588317143	ERICA POLK, DDS, PLLC (Organization)	5370 ESTATE OFFICE DR STE 2 MEMPHIS, TN 38119 (901) 590-1404		Non-Participating Provider	NO
1588354237	CHARLES SAMUEL HUGHES (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6240		Non-Participating Provider	NO
1588671770	RALEIGH DENTAL GROUP (Organization)	4283 RALEIGH MILLINGTON RD MEMPHIS, TN 38128 (901) 372-1221		Non-Participating Provider	NO
1598107567	ROBERT BRANDON SCOTT (Individual)	1755 KIRBY PKWY STE 103 MEMPHIS, TN 38120 (901) 737-1927	Guardian Humana	Non-Participating Provider	NO
1598123986	JAMES F PROCTOR DDS PA (Organization)	1655 INTERNATIONAL DRIVE SUITE 203 MEMPHIS, TN 38120 (901) 821-9852		Non-Participating Provider	NO
1598481764	PEDIATRIC DENTAL CARE OF MEMPHIS, PLLC (Organization)	717 S WHITE STATION RD STE 7 MEMPHIS, TN 38117 (901) 363-8192		Non-Participating Provider	NO
1598744120	MICHEAL ANTHONY WILLIAMS (Individual)	1251 WESLEY DR SUITE 101 MEMPHIS, TN 38116 (901) 398-0793	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1598837908	ROBERT L GARDINO (Individual)	1721 KIRBY PKWY MEMPHIS, TN 38120 (901) 624-7474	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1598963449	TIMOTHY SCOTT MESSER (Individual)	7842 PLAYERS CLUB PKWY W MEMPHIS, TN 38119 (901) 751-1260	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1609074798	HILARY ELKA BAER (Individual)	369 WINDING RIVER CIR #106 MEMPHIS, TN 38120 (901) 603-8845		Non-Participating Provider	NO
1609101740	CAMILLE BARNELL TABOR-COBB (Individual)	1068 NEW YORK ST MEMPHIS, TN 38104 (901) 246-8781	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1609250687	NAJIB GHADRI (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6242	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1609328723	DWYLETTE BROWNLEE (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 310-1441	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 Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1609351832	JARED MOFFETT (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6213	Guardian Primewell Health Services of Mississippi	Non-Participating Provider	NO
1609400431	PEDIATRIC DENTISTRY OF MEMPHIS PLLC (Organization)	717 S WHITE STATION RD STE D MEMPHIS, TN 38117 (901) 598-8500		Non-Participating Provider	NO
1609951375	EDWARD HOCHHAUSER (Individual)	3068 COVINGTON PIKE SUITE 2 MEMPHIS, TN 38128 (901) 386-2328	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama 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 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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1609980978	NORMAN SAUL TOWBIN (Individual)	5378 ESTATE OFFICE DR #1 MEMPHIS, TN 38119 (901) 761-3912	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1619005717	CHICKASAW DENTAL (Organization)	2877 POPLAR AVE MEMPHIS, TN 38111 (901) 324-0093		Non-Participating Provider	NO
1619076676	TOYA PINKSTON DAWSON (Individual)	2348 PARK AVENUE MEMPHIS, TN 38114 (901) 327-6166	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 BlueCross BlueShield of Tennessee DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1619162187	MCRAE-WILSON ORAL AND MAXILLOFACIAL SURGERY GROUP (Organization)	5565 MURRAY RD MEMPHIS, TN 38119 (901) 767-0088		Non-Participating Provider	NO
1619319514	KALEB JAMES PAGE (Individual)	3491 WALNUT GROVE RD MEMPHIS, TN 38111 (901) 452-0040		Non-Participating Provider	NO
1619327244	GRANT THOMAS KING (Individual)	6268 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3770	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1619970605	ALAN PAUL SALOMON (Individual)	5575 POPLAR AVE STE 121 MEMPHIS, TN 38119 (901) 683-5293	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1629066873	DELLWYN MICHELLE TURNIPSEED (Individual)	1195 POPLAR AVE MEMPHIS, TN 38105 (901) 722-8445	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1629129242	FIRESTONE DENTAL GROUP , P.L.L.C. (Organization)	1216 THOMAS ST MEMPHIS, TN 38107 (901) 525-3800	DentaQuest Insurance Company Inc- TN	Non-Participating Provider	NO
1629155197	BILLY W. MCCANN (Individual)	5885 RIDGEWAY CENTER PKWY SUITE 230 MEMPHIS, TN 38120 (901) 767-9200	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana Renaissance Dental	Non-Participating Provider	YES
1629170881	DAVID B FRANKLIN (Individual)	2738 MOUNT MORIAH PARKWAY MEMPHIS, TN 38115 (901) 363-1287	Blue Cross and Blue 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
1629183116	GORDON ERNEST GRUEN (Individual)	780 RIDGE LAKE BLVD SUITE 101 MEMPHIS, TN 38120 (901) 682-8431		Non-Participating Provider	YES
1629189303	TAYLOR P MCGUIRE (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-6233		Non-Participating Provider	NO
1629441092	JOHN MONROE CLARK (Individual)	1707 BENDER RD MEMPHIS, TN 38116 (901) 346-2514		Non-Participating Provider	NO
1639168008	JUAN CARLOS SALAZAR (Individual)	6799 GREAT OAKS RD SUITE 201 MEMPHIS, TN 38138 (901) 753-0404	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1639207293	MARIA TERESA MACARAEG (Individual)	ASPEN DENTAL 2849 N GERMANTOWN PARKWAY MEMPHIS, TN 38133 (901) 248-4732	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1639208127	PRESTON D MILLER (Individual)	6268 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3770		Non-Participating Provider	NO
1639212137	JAMES COHEN (Individual)	3337 KIRBY PKWY MEMPHIS, TN 38115 (901) 362-1931		Non-Participating Provider	YES
1639230170	CHARLIE SPELL (Individual)	6223 MOUNT MORIAH ROAD EXT MEMPHIS, TN 38115 (901) 794-3391	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1639230212	CHARLES STEPHEN ZITEK (Individual)	1273 E RAINES RD MEMPHIS, TN 38116 (901) 398-6435		Non-Participating Provider	NO
1639465974	JONATHAN PHILLIP UHLES (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6617	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1639537277	MEREDITH ANN STALNAKER (Individual)	875 UNION AVE MEMPHIS MEMPHIS, TN 38103 (901) 448-2242	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 NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1649046194	GAGE ALLAN MCNEISH (Individual)	875 UNION AVE MEMPHIS, TN 38103 (724) 992-9677		Non-Participating Provider	NO
1649249533	RUSSELL C PECK (Individual)	766 S WHITE STATION RD SUITE #1 MEMPHIS, TN 38117 (901) 685-8090	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue 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 WellCare of North Carolina	Non-Participating Provider	NO
1649292582	JERRY FRANK TAINTOR (Individual)	5370 ESTATE OFFICE DR # 2 MEMPHIS, TN 38119 (901) 684-1513		Non-Participating Provider	NO
1649341975	GREGORY W. BOUCEK (Individual)	5382 ESTATE OFFICE DR MEMPHIS, TN 38119 (901) 767-4270		Non-Participating Provider	YES
1649356726	LEE EUGENE WILSON (Individual)	6621 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 363-3014	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY WellCare of North Carolina	Non-Participating Provider	NO
1649499153	RODERICK A. BRANCH (Individual)	2154 FRAYSER BLVD MEMPHIS, TN 38127 (901) 357-5224	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 DentaQuest Insurance Company Inc- TN Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649572611	LIANG HONG (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-2369	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1659568921	WANDA E MORETA (Individual)	4325 STAGE RD STE 2 MEMPHIS, TN 38128 (901) 385-2853	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1659644524	BILLY WESTMORELAND MCCANN (Individual)	875 UNION AVE PEDIATRIC DENTISTRY DEPT MEMPHIS, TN 38103 (901) 448-6206		Non-Participating Provider	NO
1659745214	DOVE FAMILY DENTISTRY (Organization)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (972) 869-3789	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1659754471	GRANT COLEMAN DASHER (Individual)	2705 APPLING ROAD SUITE 101 MEMPHIS, TN 38133 (901) 388-9110	Humana	Non-Participating Provider	NO
1669115770	SCOTT CHRISTIAN JACKSON (Individual)	5180 PARK AVE STE 210 MEMPHIS, TN 38119 (901) 763-0850	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare DentaQuest Insurance Company Inc- TN Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1669514816	JEFFREY ALVIN KALMOWICZ (Individual)	5180 PARK AVE STE 140 MEMPHIS, TN 38119 (901) 683-7309		Non-Participating Provider	NO
1669565776	ROSIE I RICHMOND DDS PC (Organization)	1451 UNION AVE STE 130 MEMPHIS, TN 38104 (901) 272-1065	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1669644878	WILLIAMS SURGERY CENTER (Organization)	6621 KIRBY CENTER COVE MEMPHIS, TN 38115 (901) 362-6103		Non-Participating Provider	NO
1669729588	BRENT WILLS CHURCH (Individual)	1684 POPLAR AVE MEMPHIS, TN 38104 (901) 254-1990	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 Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1669734513	MILES CLINTON MOORE (Individual)	725 W BROOKHAVEN CIR MEMPHIS, TN 38117 (901) 761-2210	BlueCross BlueShield of Tennessee Cigna Healthcare Guardian	Non-Participating Provider	NO
1669750717	MILLER DENTAL HEALTH (Organization)	4250 FARONIA RD MEMPHIS, TN 38116 (901) 332-8893		Non-Participating Provider	NO
1679067375	KENNETH GROSHART (Individual)	6250 POPLAR AVE MEMPHIS, TN 38119 (901) 681-0011	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1679167092	ANDREW JAMES KAWASAKI (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 842-3171	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1679623110	THOMAS J. CRAIG, JR. (Individual)	4283 RALEIGH MILLINGTON RD MEMPHIS, TN 38128 (901) 372-1221	Renaissance Dental	Non-Participating Provider	NO
1679679617	MICHELLE ELIZABETH WARD (Individual)	3068 COVINGTON PIKE SUITE 2 MEMPHIS, TN 38128 (901) 386-2328	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1679808463	SWATI AHUJA (Individual)	875 UNION AVE DUNN DENTAL BUILDING, ROOM C 302 MEMPHIS, TN 38103 (901) 448-6476		Non-Participating Provider	NO
1689007205	BRIAN KIM (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 310-1441	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1689045346	AFRAH MOHAMMED (Individual)	3068 COVINGTON PIKE SUITE 2 MEMPHIS, TN 38128 (901) 371-8850	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1689155202	DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC DR SMILES - KIRBY PKWY (Organization)	6621 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 537-0077		Non-Participating Provider	NO
1689568040	JACKSON KEMP FAIN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (865) 603-6444		Non-Participating Provider	NO
1689753162	JERRY STEVEN CLOYD (Individual)	910 MADISON AVE SUITE 608 MEMPHIS, TN 38163 (901) 448-6476		Non-Participating Provider	NO
1689806879	CRAIG VOLK VINALL (Individual)	875 UNION AVE MEMPHIS, TN 38103 (817) 907-7077	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1699007328	WAINSCOTT HOLLIS (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6288	Guardian	Non-Participating Provider	NO
1699062273	PAYNE FAMILY DENTISTRY (Organization)	3574 HICKORY HILL RD MEMPHIS, TN 38115 (901) 365-9054		Non-Participating Provider	NO
1699086280	TUOMAS K NIEMI (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-1731	Aetna CVS Health Cigna Healthcare Delta Dental Guardian	Non-Participating Provider	YES
1699240879	BRIAN ASHFORD BRODINE (Individual)	875 UNION AVE MEMPHIS, TN 38103 (585) 509-4903	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1699464248	NEELU SHERPA (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 842-3171	Florida Combined Life Humana TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1699798066	JOSEPH KIMBROUGH LYLE (Individual)	5575 POPLAR AVE SUITE 212 MEMPHIS, TN 38119 (901) 767-3950		Non-Participating Provider	NO
1699816223	RALEIGH FAMILY DENTISTRY AMERICAN FAMILY DENTISTRY (Organization)	3068 COVINGTON PIKE SUITE 2 MEMPHIS, TN 38128 (901) 386-2328		Non-Participating Provider	NO
1699850735	ADELINE PROPHETE (Individual)	780 RIDGE LAKE BLVD STE 201 MEMPHIS, TN 38120 (901) 685-1003	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian	Non-Participating Provider	NO
1699861708	MARTHA HARDEN WELLS (Individual)	262 DANNY THOMAS PLACE DENTAL CLINIC MEMPHIS, TN 38105 (901) 595-3622	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
1699892919	WILLIAM NELSON CASTLE (Individual)	79 N COOPER ST MEMPHIS, TN 38104 (901) 685-5008	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 BlueCross BlueShield of Tennessee Cigna Healthcare Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1700229713	MOS CORPORATION UNION AVENUE DENTAL (Organization)	1331 UNION AVE STE 1225 MEMPHIS, TN 38104 (901) 276-7314	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1700459708	REID HIGGINBOTHAM (Individual)	775 E BROOKHAVEN CIR MEMPHIS, TN 38117 (901) 614-4546	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 BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1700872975	GLORIA J PRYOR (Individual)	2410 CHELSEA AVE MEMPHIS, TN 38108 (901) 458-1118	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1700977014	CHRISTOPHER M NUNNELEE (Individual)	752 NATIONAL ST MEMPHIS, TN 38122 (901) 452-6611	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710191812	ASHLEY SUZANNE RAMSEY (Individual)	UT COLLEGE OF MEDICINE 920 MADISON AVE SUITE C50 MEMPHIS, TN 38163 (901) 448-5364	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Renaissance Dental	Non-Participating Provider	NO
1710556592	TOVIA BANKS (Individual)	756 RIDGE LAKE BLVD STE 120 MEMPHIS, TN 38120 (901) 683-6770	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710648555	AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC PRESTIGE DENTAL CARE (Organization)	3267 HACKS CROSS RD MEMPHIS, TN 38125 (901) 624-0440	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1710997051	JOSEPH JOHNSON (Individual)	4299 ELVIS PRESLEY BLVD MEMPHIS, TN 38116 (901) 346-3257		Non-Participating Provider	NO
1720216880	EUNJUNG EDWARDS (Individual)	845 S HIGHLAND ST MEMPHIS, TN 38111 (901) 323-8488	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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1720322639	PATRICIA PARKER DINGELDEIN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6200		Non-Participating Provider	NO
1720439169	NATHALIE KAY HENDERSON (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 231-1275	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1720674765	WALETHA WASSON (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6271		Non-Participating Provider	NO
1730231721	BURGIN E CLAIBORNE (Individual)	4561 MILLBRANCH SUITE 1 MEMPHIS, TN 38116 (901) 396-5700	Guardian	Non-Participating Provider	NO
1730265471	LLOYD A GEORGE (Individual)	UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY 875 UNION AVE. ROOM C209 MEMPHIS, TN 38163 (901) 448-6221		Non-Participating Provider	NO
1730299587	JOERALD D BRANCH (Individual)	493 N FRONT ST SUITE 101 MEMPHIS, TN 38105 (901) 527-2101	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1730301789	SMILE MAKERS OF MEMPHIS PC (Organization)	1440 E SHELBY DR SUITE #5 MEMPHIS, TN 38116 (901) 332-8729		Non-Participating Provider	NO
1730351875	JAAMAC DENTAL (Organization)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 213-9337		Non-Participating Provider	NO
1730476268	QUINTON C. ROBINSON III, D.D.S., M.S., PLLC QUINTON C. ROBINSON III, D.D.S., M.S., PLLC (Organization)	5180 PARK AVE SUITE 260 MEMPHIS, TN 38119 (901) 683-6770		Non-Participating Provider	NO
1730477126	ROBERT TYLER WOHRMAN (Individual)	1711 KIRBY PKWY MEMPHIS, TN 38120 (901) 591-1526	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 BlueCross BlueShield of Tennessee Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1730499500	GENERATIONAL SMILES I INC. (Organization)	6825 WINCHESTER RD STE 1A MEMPHIS, TN 38115 (901) 509-2353		Non-Participating Provider	NO
1740382118	RONALD CARLTON STAPLES (Individual)	1251 WESLEY DR SUITE 101 MEMPHIS, TN 38116 (901) 398-0793	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Oscar Insurance Company Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1740390020	JOHN STURDIVANT WINFORD (Individual)	3980 NEW COVINGTON PIKE #306 MEMPHIS, TN 38128 (901) 382-2887	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 BlueCross BlueShield of Tennessee EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1740395250	STEPHEN BARRETT SEXTON (Individual)	1661 AARON BRENNER DR STE 105 MEMPHIS, TN 38120 (901) 756-8475	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1740448810	TIMOTHY W. KUTAS D.D.S. (Organization)	519 N HIGHLAND ST MEMPHIS, TN 38122 (901) 327-5604	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1740978295	MEERA PRADHAN (Individual)	UNIVERSITY OF TENNESSEE,875 UNION AVENUE SUITE C211 MEMPHIS, TN 38163 (901) 448-2343		Non-Participating Provider	YES
1750371779	JOYCE FRANKLIN-FRESHWATER (Individual)	577 E RAINES RD MEMPHIS, TN 38109 (901) 345-8582	Blue Cross and Blue 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
1750422382	SOUTHWIND FAMILY DENTISTRY AMERICAN FAMILY DENTISTRY (Organization)	7948 WINCHESTER RD MEMPHIS, TN 38125 (901) 624-0440		Non-Participating Provider	NO
1750444899	GILBERT G. STEIN (Organization)	1715 KIRBY PKWY SUITE 101 MEMPHIS, TN 38120 (901) 755-1177		Non-Participating Provider	NO
1750449690	LANCE DAVID ASHLOCK (Individual)	5336 ESTATE OFFICE DR STE #1 MEMPHIS, TN 38119 (901) 681-0408	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	NO
1750454294	BLAKE T BILLUPS (Individual)	5170 SANDERLIN AVE SUITE 203 MEMPHIS, TN 38117 (901) 767-3603		Non-Participating Provider	NO
1750456828	LARRY STEVEN WEISS (Individual)	165 MADISON AVE SUITE 1206 MEMPHIS, TN 38103 (901) 523-2999	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 BlueCross BlueShield of Tennessee Guardian	Non-Participating Provider	NO
1750469953	MICHAEL A SMITH (Individual)	6244 POPLAR AVE MEMPHIS, TN 38119 (901) 682-4682	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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. 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 BlueCross BlueShield of Tennessee Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1750476099	TIMOTHY WALTER KUTAS (Individual)	519 N HIGHLAND ST MEMPHIS, TN 38122 (901) 327-5604	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1750498374	ROBERT EDWARD MCCALLA (Individual)	875 UNION AVE DEPT OF GENERAL DENTISTRY MEMPHIS, TN 38163 (901) 448-9596		Non-Participating Provider	YES
1750580429	PRANAV D. DESAI (Individual)	845 S HIGHLAND ST MEMPHIS, TN 38111 (901) 323-8488	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	NO
1750834792	KENDALL PAYNE ALLEN (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6271	Anthem Blue Cross and Blue Shield BlueCross BlueShield of Tennessee Humana	Non-Participating Provider	NO
1750907200	MEGHAN GAHM (Individual)	875 UNION AVE MEMPHIS, TN 38103 (303) 909-8491		Non-Participating Provider	NO
1760237283	SMILE FOR US DENTISTRY PLLC (Organization)	1331 UNION AVE STE 1225 MEMPHIS, TN 38104 (901) 276-7314		Non-Participating Provider	NO
1760482046	SHELDON MAURICE GRAVES (Individual)	4137 KIRBY PKWY SUITE 4 MEMPHIS, TN 38115 (901) 433-0701	Cigna Healthcare DentaQuest Insurance Company Inc- TN Guardian	Non-Participating Provider	NO
1760489496	JOHN STEPHEN WEIR (Individual)	5348 ESTATE OFFICE DR MEMPHIS, TN 38119 (901) 763-4700		Non-Participating Provider	YES
1760520241	GOODLOE MALONE KELTNER (Individual)	5866 RIDGE BEND RD SUITE 2 MEMPHIS, TN 38120 (901) 680-0364		Non-Participating Provider	YES
1760540702	DR. SAMUEL L. WATTS D.D.S., M.S., P.A. (Organization)	5101 SANDERLIN AVE STE 108 MEMPHIS, TN 38117 (901) 767-6320	DentaQuest Insurance Company Inc- TN	Non-Participating Provider	NO
1760844302	KATHERINE MUSSER (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 701-2720	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770075681	BELLANO EAST MEMPHIS, PLLC BELLANO DENTAL HEALTH (Organization)	5336 ESTATE OFFICE DR STE 1 MEMPHIS, TN 38119 (901) 681-0408		Non-Participating Provider	NO
1770096703	SOUTHERN DENTAL OF RALEIGH PLLC (Organization)	4283 RALEIGH MILLINGTON RD MEMPHIS, TN 38128 (901) 372-1221	UnitedHealthcare	Non-Participating Provider	NO
1770228405	TONI-ANN MCLEOD (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 842-3160	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1770573131	KAHALA C CANNON (Individual)	5366 MENDENHALL MALL MEMPHIS, TN 38115 (901) 271-6156	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	NO
1770651333	DENIS IAN FREIDEN (Individual)	725 W BROOKHAVEN CIR MEMPHIS, TN 38117 (901) 761-2210	Blue Cross and Blue 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
1770653347	JOSEPH BERRY ADKINS (Individual)	6075 POPLAR AVE SUITE 414 MEMPHIS, TN 38119 (901) 685-2010	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 BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1770711384	ELIZABETH GRAHAM MITCHELL (Individual)	795 RIDGE LAKE BLVD STE 106 MEMPHIS, TN 38120 (901) 756-1151		Non-Participating Provider	NO
1770720666	ANDREW KARL GRAY (Individual)	1365 ARMAND DR APT 303 MEMPHIS, TN 38103 (202) 390-3818	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana	Non-Participating Provider	NO
1770880064	MILLER DENTAL HEALTH (Organization)	5124 STAGE RD STE C-2 MEMPHIS, TN 38134 (901) 373-5433	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1770963746	AYMAN AL DAYEH (Individual)	875 UNION AVE, S312 DEPARTMENT OF ORTHODONTICS MEMPHIS, TN 38163 (901) 448-2168		Non-Participating Provider	NO
1780200279	TAYLOR RAE VRACAR (Individual)	875 UNION AVE STE 301 MEMPHIS, TN 38103 (901) 448-6213	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 Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1780722959	WALTER COOPER SANDUSKY (Individual)	6262 POPLAR AVE MEMPHIS, TN 38119 (901) 761-3700	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1780757021	VICTOR J. KLEINAITIS (Individual)	473 HIGH POINT TER MEMPHIS, TN 38122 (901) 452-3197	Blue Cross and Blue 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	Non-Participating Provider	NO
1780850735	LACANAS HERRING MACK DDS PC (Organization)	183 TILLMAN ST MEMPHIS, TN 38111 (901) 452-3211		Non-Participating Provider	NO
1780867093	CARRIER AND ANDERSON PLLC (Organization)	975 REDDOCH COVE MEMPHIS, TN 38119 (901) 682-2491		Non-Participating Provider	NO
1790415834	HONG JIA (Individual)	1010 JUNE RD STE 105 MEMPHIS, TN 38119 (901) 761-1515	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian	Non-Participating Provider	NO
1790446508	AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC AMERICAN FAMILY DENTISTRY - KIRBY QUINCE (Organization)	2900 KIRBY RD STE 12 MEMPHIS, TN 38119 (901) 756-8976	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1790858272	HARRY K. SHARP (Individual)	875 UNION AVE RM S219 MEMPHIS, TN 38163 (901) 448-4944		Non-Participating Provider	NO
1790890234	JOHN G REDDICK (Individual)	6075 POPLAR AVE CRESCENT CENTER STE 121 MEMPHIS, TN 38119 (901) 761-3726		Non-Participating Provider	YES
1801128582	LARRY WILSON ANTHONY (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 271-6050	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1801214713	INDIA LEOLA BROWN (Individual)	910 MADISON AVE SUITE 710 MEMPHIS, TN 38103 (901) 232-2438	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1801527122	HILLARY ELIZABETH GORE (Individual)	2953 BROAD AVE MEMPHIS, TN 38112 (901) 842-3171	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1801651401	AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC (Organization)	3481 POPLAR AVE MEMPHIS, TN 38111 (901) 320-9301		Non-Participating Provider	NO
1811047368	LAWRENCE HSIA (Individual)	1010 JUNE RD SUITE 105 MEMPHIS, TN 38119 (901) 761-1515	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811185879	DEWITT H KING (Individual)	2212 AIRWAYS BLVD MEMPHIS, TN 38114 (901) 743-5055	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1811353337	AMMAAR H ABIDI (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6200	Guardian	Non-Participating Provider	YES
1811377625	CHRISTOPHER WILSON (Individual)	3594 COVINGTON PIKE MEMPHIS, TN 38128 (901) 377-6800	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1811540644	JANE NATHANIELLE MOORE (Individual)	875 UNION AVE DUNN BLDG RM 502C MEMPHIS, TN 38163 (901) 448-6930		Non-Participating Provider	NO
1811569692	ALEXANDRIA THOMPSON ELLZEY (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 310-1441	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811987258	VINCENT HEARD COPELAND (Individual)	4250 FARONIA RD MEMPHIS, TN 38116 (901) 332-9170	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 Cigna Healthcare EMI Health Florida Combined Life Guardian Health Advantage Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1821104092	LAURA BELL DOVE (Individual)	7189 STAGE RD MEMPHIS, TN 38133 (901) 373-3800		Non-Participating Provider	NO
1821150293	ROBERT C. STETZEL (Individual)	2900 KIRBY PARKWAY, STE 9 MEMPHIS, TN 38119 (901) 755-7392	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1821164724	UNIVERSITY OF TENNESSEE (Organization)	875 UNION AVE RM S219 MEMPHIS, TN 38163 (901) 448-4944		Non-Participating Provider	NO
1821206004	CARLOS DAVID ALEXANDER (Individual)	1697 BENDER RD MEMPHIS, TN 38116 (901) 346-1820	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1821273913	BROOKE ERIN DISHMON (Individual)	1661 INTERNATIONAL DR STE # 400 MEMPHIS, TN 38120 (901) 315-5503	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1831191949	BARD J. LEVEY (Individual)	875 UNION AVE MEMPHIS, TN 38103 (914) 320-6387		Non-Participating Provider	YES
1831211689	LARRY DARNELL SIMS (Individual)	1279 LAMAR MEMPHIS, TN 38104 (901) 725-1884	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1831257088	JENNIFER DANIEL COCHRAN (Individual)	1723 KIRBY PKWY MEMPHIS, TN 38120 (901) 756-7000	Blue Cross and Blue 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
1831273861	JOHN STANSILL COVINGTON (Individual)	930 MADISON AVE SUITE 600 MEMPHIS, TN 38103 (901) 448-8609		Non-Participating Provider	NO
1831310069	JAMES BREWER COCHRAN (Individual)	1711 MADISON AVE MEMPHIS, TN 38104 (901) 725-4371		Non-Participating Provider	NO
1831353648	MCCANN PEDIATRIC DENTISTRY, P.C. (Organization)	5885 RIDGEWAY CENTER PKWY SUITE 230 MEMPHIS, TN 38120 (901) 767-9200		Non-Participating Provider	NO
1831426972	WEI BAI (Individual)	45 HANNIBAL COVE SUITE 350 MEMPHIS, TN 38103 (901) 679-8158		Non-Participating Provider	NO
1831504869	JESSICA BURSE TODD (Individual)	3362 S 3RD ST MEMPHIS, TN 38109 (901) 842-3175	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1831564962	PRESTIGE DENTAL DDS PC (Organization)	3267 HACKS CROSS ROAD MEMPHIS, TN 38125 (901) 619-0347		Non-Participating Provider	NO
1841328747	RASONE T JONES (Individual)	5366 MENDENHALL MALL MEMPHIS, TN 38115 (901) 271-6156	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1841339942	PHILIP CARTER (Individual)	4250 FARONIA RD SUITE 2 MEMPHIS, TN 38116 (901) 414-0350	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1841372257	RUSSELL A WICKS (Individual)	910 MADISON AVE STE 608 MEMPHIS, TN 38163 (901) 448-6476		Non-Participating Provider	NO
1841399839	RICHARD M THOMPSON (Individual)	871 MOUNT MORIAH RD MEMPHIS, TN 38117 (901) 682-4366	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1841676152	JODY LAVAUN CLEMENTS (Individual)	795 RIDGE LAKE BLVD STE 101 MEMPHIS, TN 38120 (901) 682-5001	Guardian	Non-Participating Provider	NO
1851420228	NANCY B MASSEY (Individual)	845 S HIGHLAND ST MEMPHIS, TN 38111 (901) 323-8488	Guardian Renaissance Dental	Non-Participating Provider	NO
1851425193	WILLIAM N. CASTLE, DDS, PLLC (Organization)	79 N COOPER ST MEMPHIS, TN 38104 (901) 685-5008		Non-Participating Provider	NO
1851461867	HOWARD GLENN (Individual)	425 E SHELBY DR MEMPHIS, TN 38109 (901) 789-4891	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 BlueCross BlueShield of Tennessee Cigna Healthcare Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1851485684	JESSE L WESTBROOK (Individual)	910 MADISON AVE SUITE 828 MEMPHIS, TN 38103 (901) 526-3322	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 BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1851954903	PEDIATRIC DENTAL ASSOCIATES PLLC (Organization)	6611 KIRBY CENTER CV MEMPHIS, TN 38115 (901) 486-8686		Non-Participating Provider	NO
1861237059	ANDREW JOSEPH ROBBINS (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-6468		Non-Participating Provider	NO
1861538456	WILLIS BENNARD DAVIS (Individual)	5816 WINCHESTER ROAD MEMPHIS, TN 38115 (901) 795-0777		Non-Participating Provider	NO
1861557555	WERNER ORTHODONTICS PC (Organization)	6425 N QUAIL HOLLOW RD SUITE 201 MEMPHIS, TN 38120 (901) 767-5415		Non-Participating Provider	NO
1861761108	DARTON DERALL TAYLOR (Individual)	795 RIDGE LAKE BLVD SUITE 101 MEMPHIS, TN 38120 (901) 682-5001		Non-Participating Provider	NO
1871115931	DAVID SMITH MARSHALL (Individual)	920 MADISON AVE STE 447 MEMPHIS, TN 38103 (615) 324-9694	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1871578518	ROY ADRAIN HUDSON (Individual)	516 VANCE AVE MEMPHIS, TN 38126 (901) 526-4442	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue 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 DentaQuest Insurance Company Inc- TN Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1871605956	JOSEPH BERNARD MCLAURIN (Individual)	360 E EH CRUMP BLVD MEMPHIS, TN 38126 (901) 261-2000	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1871606905	UNIVERSITY OF TENNESSEE (Organization)	875 UNION AVE C 302 MEMPHIS, TN 38103 (901) 448-6476		Non-Participating Provider	NO
1871628719	THE DENTAL CONNECTION EAST (Organization)	3461 RIDGE MEADOW PKWY MEMPHIS, TN 38115 (901) 365-5454	UnitedHealthcare	Non-Participating Provider	NO
1871664573	BOYD W ARGO (Individual)	748 E BROOKHAVEN CIR MEMPHIS, TN 38117 (901) 685-8228	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 Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1871823922	RICHARD MALONE LACKIE (Individual)	5587 MURRAY RD SUITE 200 MEMPHIS, TN 38119 (901) 685-7166	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 BlueCross BlueShield of Tennessee EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1881032639	STACIE ALEXANDER ARBOR (Individual)	1451 UNION AVE SUITE 130 MEMPHIS, TN 38104 (901) 272-1065	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1881151413	ERICA M. ROBINSON (Individual)	3030 COVINGTON PIKE MEMPHIS, TN 38128 (901) 213-9337	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881183960	MOHAMED AMER SHAFTER (Individual)	875 UNION AVE FL 5 MEMPHIS, TN 38103 (857) 236-1574	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1881602399	LINDA O. WIBLE (Individual)	1030 JEFFERSON AVE MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1881679769	RICHARD ALVAH MILLER (Individual)	640 S PERKINS RD MEMPHIS, TN 38117 (901) 683-1038	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881764447	JAMES W. BRAWNER (Individual)	5382 ESTATE OFFICE DR MEMPHIS, TN 38119 (901) 767-4270		Non-Participating Provider	NO
1881777126	DANNY WEISS (Individual)	5885 RIDGEWAY CENTER PKWY SUITE 200 MEMPHIS, TN 38120 (901) 767-7370		Non-Participating Provider	NO
1881777670	JACKSON LEE PAYNE (Individual)	3574 HICKORY HILL ROAD MEMPHIS, TN 38115 (901) 365-9054	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 DentaQuest Insurance Company Inc- TN Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881848984	CHARLES AGRIESTI (Individual)	2838 HICKORY HILL RD #34 MEMPHIS, TN 38115 (901) 794-8334	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 BlueCross BlueShield of Tennessee	Non-Participating Provider	NO
1881862688	SCOTT PATRICK WERNER (Individual)	6425 N QUAIL HOLLOW RD SUITE 201 MEMPHIS, TN 38120 (901) 767-5415		Non-Participating Provider	NO
1891424529	COLLIN PATRICK BRYANT (Individual)	269 S MAIN ST # 3907 MEMPHIS, TN 38103 (931) 494-6498	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 BlueCross BlueShield of Tennessee Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891683686	ALLISON PAIGE SAMISCH (Individual)	266 S CLEVELAND ST STE 103 MEMPHIS, TN 38104 (901) 725-1425		Non-Participating Provider	NO
1891744066	ORPHEUS L TRIPLETT (Individual)	875 UNION AVE DEPARTMENT OF PEDIATRIC DENTISTRY, S202 MEMPHIS, TN 38103 (901) 448-2064	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare	Non-Participating Provider	NO
1891783957	CORY LYNN NEWSOM-BROUGHTON (Individual)	4250 FARONIA RD MEMPHIS, TN 38116 (901) 332-8892	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1891785655	RICHARD D MEEKINS (Individual)	1251 WESLEY DR 101 MEMPHIS, TN 38116 (901) 398-0793	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1891830063	LACANAS HERRING MACK (Individual)	183 TILLMAN ST MEMPHIS, TN 38111 (901) 452-3211	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana	Non-Participating Provider	NO
1902080666	AUDREY MARIE SELECMAN (Individual)	875 UNION AVENUE DEPT. OF RESTORATIVE DENTISTRY MEMPHIS, TN 38163 (901) 448-6101		Non-Participating Provider	NO
1902183940	SHOKOUFEH SHAHRABI FARAHANI (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-1756		Non-Participating Provider	YES
1902326226	LOGAN MICHAEL SCHMIDT (Individual)	3890 AUSTIN PEAY HWY MEMPHIS, TN 38128 (901) 373-3894	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 BlueCross BlueShield of Tennessee Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1902515901	AQUIL MUHAMMAD (Individual)	5150 STAGE RD MEMPHIS, TN 38134 (901) 386-2328	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1912082983	ERICA POLK (Individual)	5370 ESTATE OFFICE DR SUITE 2 MEMPHIS, TN 38119 (901) 590-1404	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1912343195	ROBERT H. HATCH (Individual)	UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY 875 UNION AVENUE MEMPHIS, TN 38163 (901) 832-1981		Non-Participating Provider	NO
1912556895	UNIVERSITY OF TENNESSEE PEDIATRIC DENTAL CLINIC AT LEBONHEUR (Organization)	848 ADAMS AVE. SUITE 101 MEMPHIS, TN 38103 (901) 448-5437		Non-Participating Provider	NO
1912922758	WILLIAM DONALD CALDWELL (Individual)	1030 JEFFERSON AVE MEMPHIS, TN 38104 (901) 523-8990		Non-Participating Provider	NO
1922099456	VANRAJ M MODHVADIA (Individual)	3122 THOMAS ST MEMPHIS, TN 38127 (901) 353-2424	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1922196997	CHARLES BRUCE LYNCH (Individual)	6963 WINCHESTER RD MEMPHIS, TN 38115 (901) 794-9401	Blue Cross and Blue 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 Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1922197250	DANIEL DERRICK FREEMAN (Individual)	2567 APPLING RD MEMPHIS, TN 38133 (901) 383-7337	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian	Non-Participating Provider	NO
1922262435	LAWRENCE A HIGGINBOTHAM (Individual)	50 HUMPHREYS CTR SUITE 39 MEMPHIS, TN 38120 (901) 747-4611	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1922271345	MARY FRANK CRAWFORD (Individual)	3468 PLAZA AVE MEMPHIS, TN 38111 (901) 452-1103		Non-Participating Provider	NO
1922388594	KASTAN SIMS (Individual)	1279 LAMAR AVE MEMPHIS, TN 38104 (901) 725-7132		Non-Participating Provider	NO
1922480797	GINA HARRIS (Individual)	775 E BROOKHAVEN CIR MEMPHIS, TN 38117 (901) 682-3100	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 BlueCross BlueShield of Tennessee Cigna Healthcare Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1922674787	CLAYTON MYERS (Individual)	59 S IDLEWILD ST MEMPHIS, TN 38104 (901) 726-9525	Anthem Blue Cross and Blue Shield Cigna Healthcare Guardian	Non-Participating Provider	NO
1922842467	FOSTER LEE HUDSMITH (Individual)	3445 POPLAR AVE MEMPHIS, TN 38111 (901) 458-0700		Non-Participating Provider	NO
1932211349	HIRAM RAYMOND FRY (Individual)	1721 KIRBY PKWY MEMPHIS, TN 38120 (901) 624-7474		Non-Participating Provider	NO
1932281649	GRACE SPEER (Individual)	3481 POPLAR AVE MEMPHIS, TN 38111 (901) 320-9301		Non-Participating Provider	NO
1932372356	VALENCIA MAY (Individual)	3468 PLAZA AVE MEMPHIS, TN 38111 (901) 452-1103	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Cigna Healthcare Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1932381720	DARRYL KENT JONES (Individual)	4646 POPLAR AVE STE 514 MEMPHIS, TN 38117 (901) 763-3601	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 BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1932391455	SUE ELIZABETH LANGHAM (Individual)	1210 PEABODY AVE MEMPHIS, TN 38104 (901) 272-0003		Non-Participating Provider	NO
1932401833	AFFORDABLE DENTURES - MEMPHIS, P.C. (Organization)	3481 POPLAR AVE MEMPHIS, TN 38111 (901) 320-9301		Non-Participating Provider	NO
1932567641	MONIQUE RENE' TRICE (Individual)	969 FRAYSER BLVD MEMPHIS, TN 38127 (901) 701-2740	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1932849973	ALEXANDRIA DELYNN DIXON (Individual)	5257 JUDY LYNN CV MEMPHIS, TN 38118 (901) 598-6371	Ambetter from Magnolia Health Ambetter Health Ambetter of Alabama Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932923273	JILL M ADNEY (Individual)	3725 RIVERDALE RD STE 1 MEMPHIS, TN 38115 (901) 797-3077		Non-Participating Provider	NO
1942211263	PAUL A CLARK (Individual)	6750 POPLAR AVE SUITE 700 MEMPHIS, TN 38138 (901) 309-3045		Non-Participating Provider	NO
1942224233	JAMES P WIYGUL (Individual)	5340 POPLAR AVE SUITE #1 MEMPHIS, TN 38119 (901) 682-4007	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1942259254	TRACEY DENISE CHRISTION (Individual)	6757 E SHELBY DR MEMPHIS, TN 38141 (901) 363-3144	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 BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1942308721	M. WADE CLAYTON, DDS, PA, INC. (Organization)	2705 APPLING ROAD SUITE 101 MEMPHIS, TN 38133 (901) 388-9110		Non-Participating Provider	NO
1942368881	K DANA HENRY (Individual)	5336 ESTATE OFFICE DRIVE STE #1 MEMPHIS, TN 38119 (901) 681-0408	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 BlueCross BlueShield of Tennessee Cigna Healthcare	Non-Participating Provider	NO
1942371695	SANFORD JAY FENTON (Individual)	875 UNION AVE S 217 B MEMPHIS, TN 38163 (901) 448-6206		Non-Participating Provider	NO
1942473574	DEWITT H. KING, D.D.S., P.C. (Organization)	2212 AIRWAYS BLVD MEMPHIS, TN 38114 (901) 743-2055	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1942565973	HMO HEDGEROW FAMILY DENTISTRY (Organization)	6757 E SHELBY DR MEMPHIS, TN 38141 (901) 363-3144		Non-Participating Provider	NO
1942580071	REBECCA MAYALL (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-3474	Blue Cross and Blue 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
1952306425	KENAN DAVID CLINTON (Individual)	6401 POPLAR AVE SUITE 260 MEMPHIS, TN 38119 (901) 682-8847	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1952511578	ANNA CLAIRE COMPTON, D.D.S., L.L.C COMPTON & WEIR PERIODONTICS & IMPLANTS (Organization)	5348 ESTATE OFFICE DR MEMPHIS, TN 38119 (901) 763-4700		Non-Participating Provider	NO
1952512659	JOHN BRISBY LOTT (Individual)	1297 MARLIN RD 771 EAST MALLORY AVENUE MEMPHIS, TN 38116 (901) 396-6753	Guardian	Non-Participating Provider	NO
1962070300	THUONG HUYNH (Individual)	795 RIDGE LAKE BLVD STE 101 MEMPHIS, TN 38120 (901) 682-5001	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 Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1962131227	JACOB RIDDLE (Individual)	5366 ESTATE OFFICE DR STE 2 MEMPHIS, TN 38119 (901) 682-1501	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	NO
1962416636	GORDON L. WILLS, JR (Individual)	266 S CLEVELAND ST SUITE 102 MEMPHIS, TN 38104 (901) 274-3514	BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	NO
1962520924	SHERRYE DENESE COSBY (Individual)	4205 HACKS CROSS RD SUITE 118 MEMPHIS, TN 38125 (901) 737-8714	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 BlueCross BlueShield of Tennessee Cigna Healthcare DentaQuest Insurance Company Inc- TN Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1962597971	GREGORY TODD WILKINSON (Individual)	5610 MURRAY RD MEMPHIS, TN 38119 (901) 767-3390	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 BlueCross BlueShield of Tennessee Guardian Humana	Non-Participating Provider	NO
1972096998	BINAL JAGADISH PATEL (Individual)	113 HARBOR TOWN SQ STE 203 MEMPHIS, TN 38103 (901) 453-6081	Blue Cross and Blue 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
1972348084	SHAMIKA SHANTA BRYSON-MCAULEY (Individual)	3030 COVINGTON PIKE STE 150 MEMPHIS, TN 38128 (901) 310-1441	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1972513943	SEWELL RAYBURN MCKINNEY (Individual)	843 MOUNT MORIAH RD MEMPHIS, TN 38117 (901) 683-4546	Blue Cross and Blue 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
1972615953	MARJORIE A. WOODS (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-6227		Non-Participating Provider	NO
1972647956	CHAD BALTZ (Individual)	1030 JEFFERSON AVE DENTAL SERVICE MEMPHIS, TN 38104 (918) 935-5511		Non-Participating Provider	NO
1972809580	CONSTANCE WEST (Individual)	875 UNION AVE MEMPHIS, TN 38163 (901) 448-6476	Blue Cross and Blue 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
1972830750	RUSSELL D MORRELL (Individual)	120 S GROVE PARK RD MEMPHIS, TN 38117 (901) 491-0971	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama Ambetter of Tennessee	Non-Participating Provider	NO
1972958288	PAUL N. GREGORY (Individual)	UNIV OF TN COLLEGE OF DENTISTRY 875 UNION AVE. MEMPHIS, TN 38163 (901) 448-6494		Non-Participating Provider	NO
1982042537	ROSIE I. RICHMOND (Individual)	1451 UNION AVE STE 130 MEMPHIS, TN 38104 (901) 272-1065	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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 Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1982249769	LEILA MARIE SEARS (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-7180	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1982271466	DANIEL WADE TOWNSEND (Individual)	875 UNION AVE MEMPHIS, TN 38103 (901) 448-3408		Non-Participating Provider	YES
1992144596	NEAL DENTAL OFFICE (Organization)	780 RIDGE LAKE BLVD 201B MEMPHIS, TN 38120 (901) 683-7315		Non-Participating Provider	NO
1992175376	ELIZABETH G MITCHELL, DDS, LLC (Organization)	6750 POPLAR AVE SUITE 209 MEMPHIS, TN 38138 (901) 756-1151		Non-Participating Provider	NO
1992200364	LAUREN ALYSSIA HENDERSON (Individual)	5180 PARK AVE STE 210 MEMPHIS, TN 38119 (901) 763-0850	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter of Alabama 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 BlueCross BlueShield of Tennessee Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992709877	BRUCE H MCCULLAR (Individual)	805 ESTATE PL STE 2 MEMPHIS, TN 38120 (901) 682-9713	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama 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. 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 Cigna Healthcare EMI Health Florida Combined Life Guardian Health Advantage Humana Octave Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1992810519	CESAR AUGUSTO MIGLIORATI (Individual)	875 UNION AVE SUITE N228 MEMPHIS, TN 38163 (901) 448-2613	Ambetter from Superior HealthPlan Ambetter Health Ambetter of Alabama Cigna Healthcare Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) Humana	Accepts Medicare	YES
1992828370	SUPERIOR SMILES OF MEMPHIS, LLC (Organization)	4205 HACKS CROSS RD SUITE 118 MEMPHIS, TN 38125 (901) 737-8714		Non-Participating Provider	NO
1992860613	AJAY KESHAVLAL DAVE (Individual)	3216 PARK AVE MEMPHIS, TN 38111 (901) 327-0003	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1992871305	ROBERT WOHRMAN DDS (Organization)	1711 KIRBY PKWY MEMPHIS, TN 38120 (901) 591-1526		Non-Participating Provider	NO
1992871388	WILLIAM RAYFORD PRIESTER (Individual)	5866 RIDGE BEND RD SUITE 1 MEMPHIS, TN 38120 (901) 767-8759		Non-Participating Provider	NO
1992884845	ADRIENNE MAXINE JACKSON-PAYNE (Individual)	3574 HICKORY HILL RD MEMPHIS, TN 38115 (901) 365-9054		Non-Participating Provider	NO
1992921381	SMILE MAKERS OF MEMPHIS PC (Organization)	2900 KIRBY PARKWAY SUITE #9 MEMPHIS, TN 38119 (901) 755-7392	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee DentaQuest Insurance Company Inc- TN UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1992976997	CENTER FOR ORAL AND FACIAL SURGERY (Organization)	1251 WESLEY DR SUITE 101 MEMPHIS, TN 38116 (901) 398-0793	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Magnolia Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO

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