Dentist Providers In Mesa, Arizona

Search Dentist NPI records in Mesa, AZ

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Mesa, AZ. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 707, of which 254 are registered as organizations and 453 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.

64% Individuals

36% Organizations

13% Female

51% Male

64% Individual Providers (453)36% Medical Organizations (254)13% Female Providers (93)51% Male Providers (360)

Map of Providers

We have mapped the Dentist providers in Mesa, AZ 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 Mesa, AZ
NPI	Name	Address	Insurance	Medicare	PECOS
1003035437	STEPHEN VANN (Individual)	1113 S. SIGNAL BUTTE RD STE 101 MESA, AZ 85208 (480) 986-8013	Ambetter from Arizona Complete Health 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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1003106519	DR ALLAN T NGUYEN LLC HI TECH DENTISTRY (Organization)	66 S DOBSON RD STE # 144 MESA, AZ 85202 (480) 969-1550	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1003541541	JOSE ANDRES ANDRINO (Individual)	1801 E SOUTHERN AVE STE 101 MESA, AZ 85204 (480) 892-9000	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Renaissance Dental	Non-Participating Provider	NO
1003872680	NORTH STAPELY DENTAL CARE (Organization)	335 N STAPLEY DR MESA, AZ 85203 (480) 964-2662	BannerAetna	Non-Participating Provider	NO
1003963398	KEVIN HYUNG CHOI (Individual)	4434 E. BROWN RD STE 104 MESA, AZ 85205 (480) 654-3000	Blue Cross and Blue 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
1003997867	NILE MORGAN DAVIS (Individual)	1551 E UNIVERSITY DR MESA, AZ 85203 (480) 834-6777	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1013015478	DAVID ALLEN CURTIS (Individual)	2025 N POWER RD #106 MESA, AZ 85215 (480) 654-5730		Non-Participating Provider	NO
1013020502	BRYCE E. JUSTESEN (Individual)	2830 E BROWN RD SUITE 6 MESA, AZ 85213 (480) 835-5945	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana	Non-Participating Provider	NO
1013053057	WESTERN DENTAL OF ARIZONA, INC. (Organization)	1161 E MAIN ST MESA, AZ 85203 (480) 834-1555	BannerAetna	Non-Participating Provider	NO
1013126101	RAYMOND MCREADY TRAVIS VANDERWERF (Individual)	1630 S STAPLEY DR #208 MESA, AZ 85204 (480) 775-2656	Blue Cross and Blue 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
1013651454	JUSTIN PALMER (Individual)	944 N GILBERT RD STE 104 MESA, AZ 85203 (480) 834-5000	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1013740018	GREEN 32 PLLC (Organization)	107 N GREENFIELD RD STE 2 MESA, AZ 85205 (480) 832-5190		Non-Participating Provider	NO
1013914886	SANDRA GARZA REYES (Individual)	4854 E BASELINE RD SUITE 101 MESA, AZ 85206 (480) 654-1811	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian Renaissance Dental	Opted out of Medicare	YES
1023095734	BRADLEY THAIN PORTER (Individual)	6755 E SUPERSTITION SPRINGS BLVD SUITE 103 MESA, AZ 85206 (480) 830-5866	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1023102183	1801 SOUTHERN VISTA DENTAL CARE SOUTHERN VISTA DENTAL CARE (Organization)	1801 E SOUTHERN AVE SUITE 103 MESA, AZ 85204 (480) 892-9000		Non-Participating Provider	NO
1023149119	RANDALL ADAMS (Individual)	2835 E BROWN RD STE 102 MESA, AZ 85213 (480) 832-3830	Ambetter from Arizona Complete Health Guardian	Non-Participating Provider	NO
1023235108	ORTHODONTIC CENTERS OF AZ (Organization)	1959 S VAL VISTA DR #118 MESA, AZ 85204 (480) 539-1000		Non-Participating Provider	NO
1023276649	S. RYAN YOUNG, DMD CAGS PLLC IMAGINE ORTHODONTICS (Organization)	1702 S VAL VISTA DR SUITE 101 MESA, AZ 85204 (480) 668-8200	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1023374287	SCOTT DENTISTRY (Organization)	5151 E BROADWAY RD SUITE #101 MESA, AZ 85206 (480) 924-3446	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1023468899	EVERY SMILE MESA, LLC (Organization)	3960 E UNIVERSITY DR STE 101 MESA, AZ 85205 (480) 830-8686	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1023862463	JUST DENTAL (Organization)	67 N DOBSON RD STE 105 MESA, AZ 85201 (480) 866-8642		Non-Participating Provider	NO
1033250147	CARE FOR KIDS OF ARIZONA, LLC A TOOTH DOCTOR FOR KIDS- PCC (Organization)	944 N GILBERT RD MESA, AZ 85203 (480) 833-4180		Non-Participating Provider	NO
1033271945	STEVEN L. FROST (Individual)	1056 S VAL VISTA DR STE 3 MESA, AZ 85204 (480) 396-6100	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1033288493	LARRY BARGREN (Individual)	1830 S ALMA SCHOOL RD STE 110 MESA, AZ 85210 (480) 834-1317		Non-Participating Provider	NO
1033313564	SANDRA G REYES, DDS. PLLC SANDRA REYES, DDS (Organization)	4854 E BASELINE RD SUITE 101 MESA, AZ 85206 (480) 654-1811		Non-Participating Provider	NO
1033508031	TEPHROCACTUS LLC GILBERT ROAD DENTAL CARE (Organization)	2158 N GILBERT RD MESA, AZ 85203 (480) 649-7200		Non-Participating Provider	NO
1033587571	ACCURATE DENTAL, PC (Organization)	1731 W BASELINE RD STE 104 MESA, AZ 85202 (480) 748-9976		Non-Participating Provider	NO
1033696620	JOHN M LOPEZ (Individual)	1920 S STAPLEY DR STE 105 MESA, AZ 85204 (480) 545-5300	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1033720784	NATIONAL EDUCATION INSTITUTES, LLC (Organization)	1959 S VAL VISTA DR STE 118 MESA, AZ 85204 (480) 248-8008		Non-Participating Provider	NO
1033745377	EUGENE ERWIN (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1033746045	SCOTT JOSEPH LOMBARDI (Individual)	3707 E SOUTHERN AVE MESA, AZ 85206 (602) 459-7456	Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1033750724	MESA VALLEY DENTAL LLC (Organization)	1220 S HIGLEY RD STE 206 MESA, AZ 85206 (480) 985-9110	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1033828736	HOLLIS FAMILY DENTAL (Organization)	5043 E BROADWAY RD MESA, AZ 85206 (480) 654-5500	DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1033951355	JOSHUA J BAER (Individual)	1959 S VAL VISTA DR STE 118 MESA, AZ 85204 (480) 750-0017		Non-Participating Provider	NO
1043297393	MESA DENTAL CARE (Organization)	1930 S DOBSON RD #1 MESA, AZ 85202 (480) 730-0500	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1043382781	SUNEETA ANNAMAREDDY (Individual)	2711 S ALMA SCHOOL RD STE 10 MESA, AZ 85210 (480) 820-3755	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1043407885	GATEWAY SMILES, LLP GATEWAY SMILES (Organization)	1901 S SIGNAL BUTTE RD SUITE 107 MESA, AZ 85209 (480) 305-0877	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1043457427	MINDY ZAHRA MOTAHARI (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Accepts Medicare	YES
1043468630	DENTON R ROGERS (Individual)	5855 EAST STICLL CIRCLE MESA, AZ 85206 (480) 248-8132	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
1043503840	VERVE DENTAL GROUP, LLC (Organization)	4824 E BASELINE RD STE 140 MESA, AZ 85206 (480) 969-4040	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1043541907	JEFFREY CRAIG WIGHT (Individual)	4135 S POWER RD STE 101 MESA, AZ 85212 (480) 588-2188	BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Renaissance Dental	Accepts Medicare	YES
1043682412	DENTAL EXPRESS LLC (Organization)	1010 E UNIVERSITY DR BUILDING 2 MESA, AZ 85203 (317) 682-8247		Non-Participating Provider	NO
1053005603	HAE JIN HAN (Individual)	1439 S VAL VISTA DR APT 260 MESA, AZ 85204 (415) 606-2258		Non-Participating Provider	NO
1053022129	MESA SMILES DENTISTRY (Organization)	849 N DOBSON RD STE 108 MESA, AZ 85201 (480) 834-7777	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1053318873	WILLIAM SHAYNE GUFFEY (Individual)	2820 E UNIVERSITY DR SUITE #108 MESA, AZ 85213 (480) 830-0262	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1053335950	MICHAEL CROCKETT (Individual)	31 S 63RD ST SUITE 5 MESA, AZ 85206 (480) 981-0203	BannerAetna BEST Life Cigna Healthcare Delta Dental of Arizona Guardian Humana TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1053375881	RICHARD C WESTERGARD (Individual)	2038 N RECKER RD MESA, AZ 85215 (480) 813-3752		Non-Participating Provider	NO
1053491894	SHAYLAR HATCH, D.M.D., P.C. (Organization)	4135 S POWER RD STE 101 MESA, AZ 85212 (480) 525-6000		Non-Participating Provider	NO
1053522425	ROBERT P SMITHSON (Individual)	1113 S SIGNAL BUTTE RD SUITE 101 MESA, AZ 85208 (480) 986-8013	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1053577072	ERIK PEASE (Individual)	4830 E MAIN ST #23 MESA, AZ 85205 (480) 832-3335	Ambetter from Arizona Complete Health BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1053581132	D-C DENTAL CENTER PLC (Organization)	1545 E UNIVERSITY DR MESA, AZ 85203 (480) 834-9001		Non-Participating Provider	NO
1053631309	AN ELEGANT SMILE P.C. AN ELEGANT SMILE DENTISTRY (Organization)	1425 S GREENFIELD RD BLDG 2 STE 110 MESA, AZ 85206 (480) 854-3434		Non-Participating Provider	NO
1053693531	SOUTH MESA DENTAL PARTNERS, PROF., LLP SOUTH MESA DENTAL PARTNERS (Organization)	1130 S COUNTRY CLUB DR UNIT 101 MESA, AZ 85210 (480) 461-9866	BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1053969568	D3C DENTAL,PLC (Organization)	3048 E BASELINE RD STE 128 MESA, AZ 85204 (480) 820-6080		Non-Participating Provider	NO
1063005049	DENTAL SPECIALTY GROUP INC (Organization)	4435 E BROADWAY RD STE 7 MESA, AZ 85206 (480) 471-8480		Non-Participating Provider	NO
1063508687	STEVEN J. GUNNELL (Individual)	107 N GREENFIELD RD SUITE 2 MESA, AZ 85205 (480) 832-5190		Non-Participating Provider	NO
1063553386	KEITH M ROGERS (Individual)	55 S 63RD STREET SUITE 1 MESA, AZ 85206 (480) 830-5100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1063581510	KENTON COVINGTON (Individual)	1830 S ALMA SCHOOL RD STE 110 MESA, AZ 85210 (480) 834-1317	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
1063637197	ROLLINS & PETERSEN ORTHODONTICS PLC PETERSEN AND ROLLINS ORTHODONTICS PC (Organization)	6755 E SUPERSTITION SPRINGS BLVD STE 201 MESA, AZ 85206 (480) 924-2880	BannerAetna	Non-Participating Provider	NO
1063649192	EAST VALLEY PERIODONTICS (Organization)	6755 E SUPERSTITION SPRINGS BLVD STE. 102 MESA, AZ 85206 (480) 218-7590		Non-Participating Provider	NO
1063712750	ROY HOLEXA (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8100		Non-Participating Provider	NO
1063789816	MODERN DENTAL PROFESSIONALS - ARIZONA PC BRIGHTNOW MESA COUNTRY CLUB DR (Organization)	1855 S COUNTRY CLUB DR STE 101 MESA, AZ 85210 (714) 428-2000		Non-Participating Provider	NO
1063967156	JULIE MEE WAH TANG (Individual)	3115 E NANCE ST MESA, AZ 85213 (480) 256-8330		Non-Participating Provider	NO
1073072872	LEILA ZADEH (Individual)	5835 E STILL CIR MESA, AZ 85206 (480) 248-8100	Ambetter from Arizona Complete 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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian	Non-Participating Provider	YES
1073578845	MYSORE S SURESH (Individual)	1830 S ALMA SCHOOL RD #136 MESA, AZ 85210 (480) 491-0404	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073663654	FARID EBRAHIM (Individual)	1423 S HIGLEY RD STE 123 MESA, AZ 85206 (480) 830-3138	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1073761730	MARISELA M. BEDOYA (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8132	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Guardian TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1073797411	SCOTT T LESUEUR (Individual)	1056 S. VAL VISTA DRIVE SUITE 1 MESA, AZ 85204 (480) 834-6991	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Humana	Non-Participating Provider	NO
1073988127	RICHARD P BAKER DDS (Organization)	160 S POWER RD MESA, AZ 85206 (480) 985-1910		Non-Participating Provider	NO
1083066237	WESTON RAY HOLLIS (Individual)	5043 E BROADWAY RD MESA, AZ 85206 (480) 654-5500	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083067599	FARHAD SHARIFI (Individual)	1941 S PIERPONT DR UNIT 2046 MESA, AZ 85206 (858) 444-7391	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1083086920	SV PEDIATRIC DENTISTRY, LLC SUN VALLEY PEDIATRIC DENTISTRY MESA (Organization)	1220 S HIGLEY RD SUITE #206 MESA, AZ 85206 (480) 985-9110		Non-Participating Provider	NO
1083630727	DEBORAH LEE KLINKEFUS (Individual)	30 W 1ST AVE MESA, AZ 85210 (480) 834-1918	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Opted out of Medicare	YES
1083668230	ENDODONTIC SPECIALISTS LTD (Organization)	2220 W SOUTHERN AVENUE SUITE #102 MESA, AZ 85202 (480) 834-7100		Non-Participating Provider	NO
1083673362	STEPHEN JOSEPH VITAL (Individual)	3505 E BROWN RD SUITE 102 MESA, AZ 85213 (480) 924-6169	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1093061202	THERESA M. COLLINS (Individual)	2058 S DOBSON RD STE 12 MESA, AZ 85202 (503) 267-7559	Ambetter from Arizona Complete Health BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1093107237	SUNWEST DENTAL CENTER SUNWEST DENTAL (Organization)	4704 E SOUTHERN AVE MESA, AZ 85206 (480) 889-9457		Non-Participating Provider	NO
1093314775	NAIOOM DENTISTRY PLLC (Organization)	2158 N GILBERT RD MESA, AZ 85203 (480) 993-6174	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1093864308	TERRY FRANKLIN GARDNER (Individual)	2024 S DON CARLOS SUITE A MESA, AZ 85202 (480) 838-8558		Non-Participating Provider	NO
1093909509	NATHAN GEORGE WOODS (Individual)	2855 E BROWN RD SUITE 15 MESA, AZ 85213 (804) 814-5801	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1093910739	KEITH M ROGERS DDS PC (Organization)	55 S 63RD ST SUITE 1 MESA, AZ 85206 (480) 830-5100	DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1104008499	SOSSAMAN DENTAL CARE SOSSAMAN DENTAL CARE (Organization)	1925 S SOSSAMAN RD #212 MESA, AZ 85209 (480) 203-2531		Non-Participating Provider	NO
1104018886	MARISSA PASION MANDAP (Individual)	846 S STAPLEY DR MESA, AZ 85204 (480) 834-8405	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1104045715	FRANK KUNTZ (Individual)	215 S POWER RD STE 214 MESA, AZ 85206 (480) 985-1237	Blue Cross and Blue 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
1104207133	JEFFREY SCHMELTER (Individual)	1941 W GUADALUPE RD STE 120 MESA, AZ 85202 (480) 909-4255	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Guardian Humana MedMutual Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1104237593	JORDAN POND (Individual)	9221 E BASELINE RD MESA, AZ 85209 (480) 357-7759	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1104277599	SERENA IDE NOUMY (Individual)	5850 E STILL CIR MESA, AZ 85206 (480) 265-8005	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1104955509	AMERICAN DENTAL CENTER INC (Organization)	1050 E UNIVERSITY DR STE 11 MESA, AZ 85203 (480) 610-2401	Ambetter from Arizona Complete Health DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1114010188	SUSAN MICHELLE LARSEN (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 610-6544	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1114022613	BPLARRABEE INCORPORATED ADVANCED ORTHODONTICS (Organization)	1810 S CRISMON RD SUITE 183 MESA, AZ 85209 (480) 357-4900		Non-Participating Provider	NO
1114336716	KYLE DUFFY (Individual)	107 N GREENFIELD RD SUITE 2 MESA, AZ 85203 (480) 832-5190	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1114396751	KRISTOPHER BRYCE LARSON (Individual)	4050 E HUBER ST MESA, AZ 85205 (801) 921-0792	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1114732930	ZACH HENTGES ENTERPRISES (Organization)	560 N STAPLEY DR STE 2 MESA, AZ 85203 (480) 964-2131		Non-Participating Provider	NO
1114987435	BRADLEY D. SCOTT (Individual)	1058 N HIGLEY RD SUITE #212 MESA, AZ 85205 (480) 924-3446	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1124083936	SCOTT T WHITENER (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 655-8687	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124268453	RACHEL CLAIRE WADDILL (Individual)	5440 E SOUTHERN AVE SUITE 107 MESA, AZ 85206 (480) 830-3344		Non-Participating Provider	NO
1124672548	R KEITH FARR DDS LLC (Organization)	4540 E BASELINE RD STE 111 MESA, AZ 85206 (480) 834-8035		Non-Participating Provider	NO
1134148539	MARK HANK (Individual)	2204 S DOBSON RD STE 205 MESA, AZ 85202 (480) 831-8808	Blue Cross and Blue 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
1134162159	DANIEL RICHARD WESELY (Individual)	2711 S ALMA SCHOOL RD SUITE 10 MESA, AZ 85210 (480) 820-3755		Non-Participating Provider	NO
1134209596	NATHAN RAYMOND KITCHEN (Individual)	1259 N POWER RD MESA, AZ 85205 (480) 830-8946	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134303167	HENRY R.F. BARKETT (Individual)	4355 E UNIVERSITY DR MESA, AZ 85205 (480) 400-8684	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1134359474	JOEL EDWIN TIFFANY (Individual)	4996 S POWER RD MESA, AZ 85212 (480) 840-3600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1134470586	RITA ROSTAMI ASRABADI (Individual)	1731 W BASELINE RD STE 104 MESA, AZ 85202 (480) 755-1200		Non-Participating Provider	NO
1134809908	CHIAMAKA ELSIE EGBUDIWE (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1144085010	JUST CLEANINGS, LLC (Organization)	67 N DOBSON RD STE 105 MESA, AZ 85201 (480) 866-8642	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1144223694	ALAN K KULP (Individual)	560 N STAPLEY DR MESA, AZ 85203 (480) 964-2131	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 Blue Cross Blue Shield of Arizona Guardian	Non-Participating Provider	NO
1144342155	MARK S. HAMBLIN, D.D.S., P.C. (Organization)	6755 E SUPERSTITION SPRINGS BLVD SUITE #202 MESA, AZ 85206 (480) 981-3311	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1144756016	TAD OLSEN (Individual)	1130 S COUNTRY CLUB DR MESA, AZ 85210 (480) 461-9866	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1154013290	KYLE PALMER (Individual)	7221 E BASELINE RD STE 102 MESA, AZ 85209 (480) 984-0884	Cigna Healthcare Delta Dental of Arizona Guardian	Non-Participating Provider	NO
1154016467	PWR DENTAL, LLC (Organization)	1545 S POWER RD STE 112 MESA, AZ 85206 (802) 922-8486		Non-Participating Provider	NO
1154377745	DAVID S. MCGEE (Individual)	6640 EAST BASELINE RD SUITE #104 MESA, AZ 85206 (480) 830-2544	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1154382190	GARN & MASON ORTHODONTICS, PLC (Organization)	2835 E BROWN RD SUITE 102 MESA, AZ 85213 (480) 832-3830		Non-Participating Provider	NO
1154478808	STAN LAVELL COVINGTON (Individual)	2919 S ELLSWORTH RD SUITE 141 MESA, AZ 85212 (480) 307-8430	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1154481026	MOUNTAIN VIEW FAMILY DENTAL PLLC MOUNTAIN VIEW FAMILY DENTISTRY PLLC (Organization)	2820 E UNIVERSITY DR STE #108 MESA, AZ 85213 (480) 830-0262	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1154484350	KRC HOLDINGS PLLC DOBSON RANCH FAMILY DENTISTRY (Organization)	2058 SOUTH DOBSON ROAD #13 MESA, AZ 85202 (480) 820-2300	UnitedHealthcare	Non-Participating Provider	NO
1154533016	BRAD L. COTTLE (Individual)	2346 E BROWN RD MESA, AZ 85213 (480) 969-3069	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1154534469	MARK CURTIS (Individual)	335 N STAPLEY DR MESA, AZ 85203 (480) 964-2662	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1154540367	DENTISTRY FOR CHILDREN PLLC (Organization)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 610-6544	Ambetter from Arizona Complete Health DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1154704252	GLENN TAYLOR LESUEUR (Individual)	1056 S. VAL VISTA DR. SUITE 1 MESA, AZ 85204 (480) 834-6991	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1164509352	DAVID BENJAMIN WHITING (Individual)	4827 E SOUTHERN AVE SUITE 100 MESA, AZ 85206 (480) 654-8900	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1164520342	HOWARD GOODFELLOW HANSEN (Individual)	107 N GREENFIELD RD SUITE 1 MESA, AZ 85205 (480) 832-1215		Non-Participating Provider	NO
1164722021	COUNTRY CLUB DENTAL MANAGEMENT CO, PC (Organization)	4704 E SOUTHERN AVE SUITE #1 MESA, AZ 85206 (480) 889-9457	BannerAetna	Non-Participating Provider	NO
1164741229	VALLEYWIDE SUNSHINE DENTAL CARE LLC SUNSHINE DENTAL CARE (Organization)	6328 E BROWN RD #101 MESA, AZ 85205 (480) 325-5700		Non-Participating Provider	NO
1164918157	RICHARD HUYNH (Individual)	1712 S COUNTRY CLUB DR STE 104 MESA, AZ 85210 (480) 376-0593	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1164951182	CODY EARL CAFFALL (Individual)	1801 E SOUTHERN AVE STE 101 MESA, AZ 85204 (480) 892-9000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1174091342	EAST VALLEY ORTHODONTICS (Organization)	1635 N GREENFIELD RD STE 103 MESA, AZ 85205 (480) 615-8888		Non-Participating Provider	NO
1174098255	DENTAL CARE OF MESA LLC (Organization)	6610 E BASELINE RD STE 104 MESA, AZ 85206 (480) 290-7777	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1174149157	JORDAN SUNDERHAUS (Individual)	1244 N GREENFIELD RD STE 103 MESA, AZ 85205 (480) 964-9020	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1174241053	JEFFREY C WIGHT DDS PLLC (Organization)	4135 S POWER RD STE 101 MESA, AZ 85212 (480) 588-2188		Non-Participating Provider	NO
1174380836	MARANA PEDIATRIC DENTISTRY, TYLER ROBERTS, DMD, PLLC LITTLE REBELZ PEDIATRIC DENTISTRY (Organization)	6239 E BROWN RD STE 102 MESA, AZ 85205 (480) 753-3711		Non-Participating Provider	NO
1174411292	RYAN NIA (Individual)	1930 S DOBSON RD STE 1 MESA, AZ 85202 (480) 730-0500		Non-Participating Provider	NO
1174531594	RICK L. JACOBI (Individual)	31 S 63RD ST STE. 5 MESA, AZ 85206 (480) 981-0203	BannerAetna Guardian	Non-Participating Provider	NO
1174547327	MICHAEL JOHN HYNEMAN (Individual)	1905 E MCKELLIPS RD MESA, AZ 85203 (480) 649-1949	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1174713028	THOMAS G GRECO (Individual)	6712 E BROADWAY RD # A3 MESA, AZ 85206 (480) 830-0059	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1174714885	CORY BRANDON RAUCH (Individual)	2820 E UNIVERSITY DR SUITE #108 MESA, AZ 85213 (480) 361-4923	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1174723027	SHEYDA ZAHIRI (Individual)	1161 E MAIN ST MESA, AZ 85203 (480) 962-6983	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1184456998	AESTHETIC FAMILY DENTAL CARE (Organization)	6626 E BASELINE RD STE 101 MESA, AZ 85206 (480) 218-8800		Non-Participating Provider	NO
1184792350	TSUNPIAO CHIANG (Individual)	1423 S HIGLEY RD SUITE 101 MESA, AZ 85206 (480) 396-9900	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1184799538	REUBEN NELSON TURNER (Individual)	3707 E SOUTHERN AVE MESA, AZ 85206 (480) 332-5541	Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1184815235	KATHLEEN CHIVARI (Individual)	6963 E MAIN ST MESA, AZ 85207 (480) 981-3047	Blue Cross and Blue 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
1194089748	BREANNA R EMBREE (Individual)	2824 N POWER RD STE 108 MESA, AZ 85215 (480) 641-4567	BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Humana	Opted out of Medicare	YES
1194200980	HIGHBURY DENTAL MANAGEMENT, LLC (Organization)	4425 S MOUNTAIN RD SUITE 109 MESA, AZ 85212 (602) 776-9700	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1194212175	BRADLEY JOSEPH PICO (Individual)	2500 S POWER RD STE 105 MESA, AZ 85209 (480) 290-2710	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1194291997	ARIZONA DISCOUNT DENTISTRY PLLC (Organization)	2500 S POWER RD STE 127 MESA, AZ 85209 (480) 530-5832		Non-Participating Provider	NO
1194390856	NORTH MESA DENTAL (Organization)	3505 E BROWN RD MESA, AZ 85213 (480) 660-7111		Non-Participating Provider	NO
1194735795	JARED BLACKER (Individual)	6848 E BROWN RD MESA, AZ 85207 (480) 418-9207	Ambetter from Arizona Complete Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana	Non-Participating Provider	NO
1194765453	JOSEPH C CREECH (Individual)	2204 S DOBSON RD MESA, AZ 85202 (480) 839-0777		Non-Participating Provider	NO
1194890152	ADVANCED DENTAL CONCEPTS PC (Organization)	801 S POWER ROAD SUITE 104 MESA, AZ 85206 (480) 807-9559		Non-Participating Provider	NO
1205033826	E. MARK WADE (Individual)	1121 S GILBERT RD STE 104 MESA, AZ 85204 (480) 926-7363	Blue Cross and Blue 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	Opted out of Medicare	YES
1205049681	DAVID FAIRBANKS MCCOOK (Individual)	1102 S GREENFIELD RD MESA, AZ 85206 (480) 969-0077	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1205106739	DENTAL PROGRESSIONS PLLC (Organization)	623 E UNIVERSITY DR MESA, AZ 85203 (480) 833-7070		Non-Participating Provider	NO
1205114766	EAST MESA DENTAL PARTNERS, LLP (Organization)	407 N LINDSAY RD MESA, AZ 85213 (480) 218-9720	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1205667870	MESA IMPLANTS & PERIODONTICS, LLC (Organization)	2812 N NORWALK BLDG 13 SUITE 126 MESA, AZ 85215 (480) 203-2666		Non-Participating Provider	NO
1205729696	SHELLEY LEE (Individual)	10664 E POINT TWENTY TWO BLVD MESA, AZ 85212 (480) 360-3073		Non-Participating Provider	NO
1205913241	SMITH & ENGEL DENTISTRY (Organization)	2919 S ELLSWORTH RD SUITE 118 MESA, AZ 85212 (480) 219-1384		Non-Participating Provider	NO
1205924214	NEIL S. REISER (Individual)	3050 S COUNTRY CLUB DR STE 18 MESA, AZ 85210 (480) 892-8185	Blue Cross and Blue 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
1215212279	RED MOUNTAIN FAMILY DENTAL, PC (Organization)	4704 E SOUTHERN AVE MESA, AZ 85206 (480) 648-4037		Non-Participating Provider	NO
1215281688	FIESTA KIDTASTIC, LLC FIESTA KIDTASTICS (Organization)	1303 S LONGMORE STE 1 MESA, AZ 85202 (480) 648-4037	UnitedHealthcare	Non-Participating Provider	NO
1215331673	SHAYLAR MARCAL HATCH (Individual)	4135 S POWER RD STE 101 MESA, AZ 85212 (480) 525-6000	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1215562384	HDP SANDSTROM DENTAL LLC OKUN DENTISTRY - MESA (Organization)	7448 E MAIN ST MESA, AZ 85207 (480) 376-2415	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1215580501	DS DENTAL GROUP PLLC (Organization)	1155 S POWER RD STE 112B MESA, AZ 85206 (480) 733-0077	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1215772470	NICHOLAS JAMES MAGUIRE (Individual)	1959 S VAL VISTA DR STE 118 MESA, AZ 85204 (480) 750-0017		Non-Participating Provider	NO
1215943022	A LEONARD CHRISTOPHER KAYAFAS (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 101 MESA, AZ 85206 (480) 807-8022	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1215945340	DENNIS KAY LLOYD (Individual)	3940 E UNIVERSITY DR SUITE 2 MESA, AZ 85205 (480) 830-8686	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1225095474	JOEL ANDREW SHUMWAY (Individual)	951 S LINDA CIR MESA, AZ 85204 (480) 892-7155	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225115942	BRIAN ALLEN CHRISTOPHERSON (Individual)	1635 N GREENFIELD RD STE 119 MESA, AZ 85205 (480) 733-1778	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225117294	RONALD LEROY ROCK (Individual)	2346 E BROWN RD MESA, AZ 85213 (480) 834-5555	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225173974	EDWARD R FRITZ (Individual)	2830 E BROWN RD STE 9 MESA, AZ 85213 (480) 830-3305	Blue Cross and Blue 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
1225388481	LINDSAY SPRINGER (Individual)	5850 E STILL CIR MESA, AZ 85206 (802) 488-1004		Non-Participating Provider	NO
1225416027	ROBINSON ORTHODONTICS (Organization)	1635 N GREENFIELD RD SUITE 103 MESA, AZ 85205 (480) 615-8888		Non-Participating Provider	NO
1225620883	SLEEP & SNORING CPAP ALTERNATIVES ARIZONA LLC (Organization)	1050 E UNIVERSITY DR STE 12 MESA, AZ 85203 (480) 742-9425		Non-Participating Provider	NO
1225840192	J BUENJEMIA PEDIATRIC DENTISTRY PLLC (Organization)	6239 E BROWN RD STE 102 MESA, AZ 85205 (909) 224-4830		Non-Participating Provider	NO
1225850621	TOTAL DENTAL SPECIALISTS LLC (Organization)	3130 E BASELINE RD STE 105-106 MESA, AZ 85204 (480) 701-6656		Non-Participating Provider	NO
1225869316	NORTH STAR SLEEP SOLUTIONS PLLC (Organization)	3660 E UNIVERSITY DR STE 118 MESA, AZ 85205 (480) 590-2232		Non-Participating Provider	NO
1235128935	RONALD K THOMPSON (Individual)	426 W 5TH PL MESA, AZ 85201 (480) 890-2281	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235190083	NEETA ARYA (Individual)	1705 W MAIN ST MESA, AZ 85201 (877) 809-5092	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Imperial Insurance Companies Inc. Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1235202128	STANFORD K. MADSEN (Individual)	215 S POWER RD SUITE # 101 MESA, AZ 85206 (480) 981-8698	Blue Cross and Blue 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
1235249020	BRENT C CALL (Individual)	6328 E BROWN RD STE 101 MESA, AZ 85205 (480) 325-5700	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1235286469	DENTISTRY GROUP FOUNDATION, LLC VALLEYWIDE SUNSHINE DENTAL CARE (Organization)	6328 E BROWN RD SUITE 101-102 MESA, AZ 85205 (480) 325-5700		Non-Participating Provider	NO
1235418161	MANDEEP VERMANI DDS PLLC (Organization)	1911 W MAIN ST STE 6 MESA, AZ 85201 (623) 428-9949		Non-Participating Provider	NO
1235422122	FLORENCE DENTAL MANAGEMENT CO, PC (Organization)	4704 E SOUTHERN AVE MESA, AZ 85206 (480) 889-9457		Non-Participating Provider	NO
1235494428	JEREMY MICHAEL MILLER (Individual)	335 N STAPLEY DR MESA, AZ 85203 (480) 964-2662	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1235519018	PATRICK D. CHRISTENSEN (Individual)	2120 W GUADALUPE RD STE 5 MESA, AZ 85202 (480) 839-0985	Delta Dental of Arizona Humana	Non-Participating Provider	NO
1235586009	SHELBY THOMAS JENNINGS (Individual)	215 S POWER RD STE 101 MESA, AZ 85206 (480) 981-8698	BannerAetna Blue Cross and Blue 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
1235604166	IMPLANT & RECONSTRUCTIVE DENTISTRY PLLC (Organization)	1423 S HIGLEY RD STE 117 MESA, AZ 85206 (480) 390-4378		Non-Participating Provider	NO
1235811266	ERIC HSIEH (Individual)	1545 S POWER RD STE 112 MESA, AZ 85206 (480) 764-4448	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245223916	BRET M FORD (Individual)	40 W BROWN RD STE 101 MESA, AZ 85201 (480) 834-6800	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245411644	JOHN W. TAYLOR, DDS, PLLC KIDS GRINS PEDIATRIC DENTISTRY (Organization)	4540 E BASELINE RD. STE. 102 MESA, AZ 85206 (480) 830-5466	BannerAetna	Non-Participating Provider	NO
1245427376	ANDREW M. OWE (Individual)	855 W UNIVERSITY DR STE 11 MESA, AZ 85201 (480) 827-0165	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245432533	DR.SURESH AND ASSOCIATES P.C. (Organization)	1830 S ALMA SCHOOL RD SUITE 136 MESA, AZ 85210 (480) 491-0404	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1245447499	ARLON M PETERSEN (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 201 MESA, AZ 85206 (480) 924-2880		Non-Participating Provider	NO
1245450469	CORY GILES (Individual)	1635 N GREENFIELD RD STE 111 MESA, AZ 85205 (480) 985-7777	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245465020	AMAZING DENTISTRY VIRGINIA M. FLAHART, GEN PTR (Organization)	2058 S DOBSON RD STE 8 MESA, AZ 85202 (480) 345-6950		Non-Participating Provider	NO
1245480565	PREETHY KUNTHARA DDS PC SIMON DENTAL CARE (Organization)	1350 S LONGMORE SUITE 13 MESA, AZ 85202 (480) 833-0880		Non-Participating Provider	NO
1245575398	FABULOUS SMILES OF MESA FABULOUS SMILES (Organization)	4434 E. BROWN RD STE 104 MESA, AZ 85205 (480) 654-3000		Non-Participating Provider	NO
1245761311	MANOUSH FARZIN (Individual)	1941 W GUADALUPE RD STE 120 MESA, AZ 85202 (480) 741-9291	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245872381	CLARISSA COLLIER (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 508-9265	Aetna CVS Health Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental PPO DentaQuest USA Insurance Company Inc. Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255013967	MONICA AUSI (Individual)	1666 S DOBSON RD APT 3032 MESA, AZ 85202 (480) 217-5103	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255353553	ALAN ELLSWORTH LINES (Individual)	855 E BROWN RD STE 11 MESA, AZ 85203 (480) 833-8730	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Humana	Non-Participating Provider	NO
1255395208	LEIGH M SCHNAIDT (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 655-8687	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
1255493151	JAMES D. HAMBERLIN (Individual)	1056 S VAL VISTA DR STE 3 MESA, AZ 85204 (480) 396-6100	Ambetter from Arizona Complete 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 Arizona Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1255595070	STUART WAYNE BOYSE (Individual)	2058 S DOBSON RD STE 3 MESA, AZ 85202 (480) 345-8597	BannerAetna Blue Cross and Blue Shield of 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 Arizona	Non-Participating Provider	NO
1255599700	MATTHEW DAVID ARNALL (Individual)	716 N 110TH ST MESA, AZ 85207 (928) 848-2596	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1255758983	BRACES R US (Organization)	1702 S VAL VISTA DR # 101 MESA, AZ 85204 (480) 668-8200		Non-Participating Provider	NO
1255762175	STEPHEN L. WALKER DDS PLLC (Organization)	2220 W SOUTHERN AVE STE 102 MESA, AZ 85202 (602) 391-3155	UnitedHealthcare	Non-Participating Provider	NO
1265033427	STEVEN BERGER (Individual)	4996 S POWER RD MESA, AZ 85212 (480) 840-3600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1265174239	ALICE LIM (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1265639702	LIAO & CHEUNG DENTAL PLLC (Organization)	9061 E BASELINE RD STE B103 MESA, AZ 85209 (480) 380-3737	BannerAetna DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1275345670	MOLAR LLC (Organization)	215 S POWER RD STE 101 MESA, AZ 85206 (267) 666-8681		Non-Participating Provider	NO
1275621047	JEFFREY D. WING (Individual)	2919 S ELLSWORTH RD SUITE #106 MESA, AZ 85212 (480) 588-5437	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285011098	JOHN M MORRIS DDS PLLC HOLLYWOOD ORTHODONTICS (Organization)	1445 W SOUTHERN AVE SUITE 1212 MESA, AZ 85202 (480) 636-9970	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1285697474	RANDALL KEITH LOUT (Individual)	6239 E BROWN RD SUITE 102 MESA, AZ 85205 (480) 396-3660	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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Humana	Non-Participating Provider	NO
1285835876	DR PEASE & ASSOCIATES PLLC DR PEASE AND ASSOCIATES (Organization)	4830 E MAIN ST STE 23 MESA, AZ 85205 (480) 832-3335	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1285845776	A T STILL UNIVERSITY OF HEALTH SCIENCES (Organization)	5835 E STILL CIR MESA, AZ 85206 (480) 248-8107	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1295115202	KELLY MARY SLATER (Individual)	6963 E MAIN ST MESA, AZ 85207 (480) 981-3047	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295140390	BRIAN LEDIN (Individual)	1901 S SIGNAL BUTTE RD SUITE 107 MESA, AZ 85209 (480) 305-0877	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1295163418	DESERT FAMILY DENTAL (Organization)	1911 W MAIN ST #6 MESA, AZ 85201 (480) 838-4185	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1295621647	CAYMAN MICHAEL NIELSON (Individual)	1959 S VAL VISTA DR STE 118 MESA, AZ 85204 (480) 256-2293		Non-Participating Provider	NO
1295795011	GARY OWEN JONES (Individual)	1350 E MCKELLIPS RD SUITE #7 MESA, AZ 85203 (480) 834-3811	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295820777	JASON MELASHENKO (Individual)	4996 SOUTH POWER RD MESA, AZ 85212 (480) 840-3600	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295893196	SPENCER K. WILDE (Individual)	625 W SOUTHERN AVE STE E-145 MESA, AZ 85210 (480) 710-8081	Blue Cross Blue Shield of Arizona DentaQuest Insurance Company-MO	Non-Participating Provider	NO
1295898054	MANDEEP VERMANI (Individual)	455 N MESA DR STE 11 MESA, AZ 85201 (623) 428-9949	Antidote Health Plan of Arizona Inc. Blue Cross Blue Shield of Arizona UnitedHealthcare	Accepts Medicare	YES
1295948883	VALLEY PEDIATRIC DENTISTS P.C. (Organization)	6239 E BROWN RD SUITE #102 MESA, AZ 85205 (480) 396-3660		Non-Participating Provider	NO
1306016662	D-C DENTAL CENTER PLC (Organization)	1545 E UNIVERSITY DR MESA, AZ 85203 (480) 834-9001		Non-Participating Provider	NO
1306018197	JASON J. HALES (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 101 MESA, AZ 85206 (480) 807-8022	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1306056502	KIMBERLY SHARON RAO (Individual)	4830 E MAIN ST # B-7 MESA, AZ 85205 (480) 832-3335	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1306801683	RYAN SCOTT WALLIN (Individual)	1914 S POWER RD MESA, AZ 85206 (480) 218-8800	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1306906359	RICK L. JACOBI, DDS, PC (Organization)	1145 N ELLSWORTH RD STE. 102 MESA, AZ 85207 (480) 830-7801		Non-Participating Provider	NO
1306976592	GLAUSER WILLIAMS ORTHODONTICS (Organization)	6848 E BROWN RD MESA, AZ 85207 (480) 832-8686		Non-Participating Provider	NO
1316028459	NATHAN L MCLAWS (Individual)	215 SOUTH POWER ROAD SUITE 110 MESA, AZ 85206 (480) 985-8929	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1316054455	MIKE C LEE (Individual)	1731 W BASELINE RD # 104 MESA, AZ 85202 (480) 755-1200	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1316081714	JEFFREY BERNARDY (Individual)	1130 S COUNTRY CLUB DR UNIT 101 MESA, AZ 85210 (480) 833-9866	Blue Cross and Blue 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
1316118185	SPENCER CALL ARCHIBALD (Individual)	1220 S HIGLEY RD SUITE 206 MESA, AZ 85206 (480) 985-9110	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 Cigna Healthcare Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1316157589	CURTIS J CLIFFORD DDS PC (Organization)	6852 E BROWN RD MESA, AZ 85207 (480) 981-1755		Non-Participating Provider	NO
1316423353	AMBERWOOD DENTAL PARTNERS ALLEGRA DENTAL (Organization)	840 E MCKELLIPS RD STE 101 MESA, AZ 85203 (480) 656-9616		Non-Participating Provider	NO
1316475916	SYMEN VANDERLINDEN (Individual)	6626 E BASELINE RD MESA, AZ 85206 (480) 448-1246	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1316602527	GOTO SLEEP (Organization)	2150 S DOBSON RD STE 3 MESA, AZ 85202 (623) 299-8799		Non-Participating Provider	NO
1316959372	DAVID EDWARD SPRING (Individual)	560 N STAPLEY DR SUITE #1 MESA, AZ 85203 (480) 962-3845	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326037128	PREETHY JACOB KUNTHARA (Individual)	1350 S LONGMORE SUITE 13 MESA, AZ 85202 (480) 833-0880	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326110024	PICASSO DENTAL AZ MARK S. ANTHONY, DDS (Organization)	1259 N POWER RD SUITE 2 MESA, AZ 85205 (480) 832-4567	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1326162066	MICHAEL D BROADBENT (Individual)	1058 N HIGLEY RD #212 MESA, AZ 85205 (480) 924-8633	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326169749	PERFECT TEETH - POWER AND MCDOWELL P.C. PERFECT TEETH - POWER AND MCDOWELL P.C. (Organization)	2733 N POWER RD MESA, AZ 85215 (480) 924-7800		Non-Participating Provider	NO
1326172842	TOMMIE GLENN B. DECANO (Individual)	1905 E MCKELLIPS RD MESA, AZ 85203 (480) 649-1949	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1326331828	PRIME FAMILY DENTAL CARE, PC PRIME FAMILY DENTAL CENTER (Organization)	4704 E SOUTHERN AVE MESA, AZ 85206 (480) 648-4037		Non-Participating Provider	NO
1326349523	A.T. STILL UNIVERSITY OF HEALTH SCIENCES ARIZONA SCHOOL OF DENTISTRY & ORAL HEALTH (Organization)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8100	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1326738121	HECTOR ALARCON (Individual)	5835 E STILL CIR MESA, AZ 85206 (212) 263-1229	Delta Dental of Arizona	Non-Participating Provider	NO
1326935453	SOPHIA SAAD SAYLOR (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350		Non-Participating Provider	NO
1336162684	MARK R SCILLEY (Individual)	855 E BROWN RD SUITE 7 MESA, AZ 85203 (480) 834-0890	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336174622	BRETT N CHAPMAN (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 655-8687	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1336350529	PETER GERARD GARCIA (Individual)	1722 E UNIVERSITY DR MESA, AZ 85203 (480) 833-9942	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1336352285	TUYET NGO, DMD, PLLC (Organization)	1150 N COUNTRY CLUB DR SUITE # 7 MESA, AZ 85201 (480) 833-2005	Ambetter from Meridian Ambetter Health DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1336599521	SEAN COOK (Individual)	2919 S ELLSWORTH RD STE 128 MESA, AZ 85212 (480) 962-1500	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336965334	MESA DENTAL HEALTH (Organization)	1259 N POWER RD MESA, AZ 85205 (480) 830-8946		Non-Participating Provider	NO
1346308541	ADAM FORD (Individual)	600 E UNIVERSITY DR MESA, AZ 85203 (480) 610-5100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1346330032	PAUL REED SNOW (Individual)	4540 E BASELINE RD # 110 MESA, AZ 85206 (480) 982-7289	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1346390903	MAIN STREET DENTAL, INC (Organization)	67 N DOBSON RD MESA, AZ 85201 (480) 833-3677		Non-Participating Provider	NO
1346650264	HEAP AND BUNKER DENTAL (Organization)	4434 E BROWN RD SUITE 104 MESA, AZ 85205 (480) 654-3000	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1346976925	AARON TRUONG (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (408) 599-8182	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356372262	GLENN E. KELTY (Individual)	1914 S POWER RD SUITE 103 MESA, AZ 85206 (480) 641-4633	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1356431118	ANDREW T WEIR (Individual)	1423 S HIGLEY RD SUITE 117 MESA, AZ 85206 (480) 807-3332	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356552079	MESQUITE CANYON DENTAL (Organization)	6640 EAST BASELINE ROAD SUITE #104 MESA, AZ 85206 (480) 830-2544	BannerAetna	Non-Participating Provider	NO
1356555395	JASON PHILIP BARNEY (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 101 MESA, AZ 85206 (480) 807-8022	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1366251555	JOSHUA MICHAEL HANENKRATH (Individual)	4510 E BANNER GATEWAY DR APT 3076 MESA, AZ 85206 (419) 343-7515		Non-Participating Provider	NO
1366281149	BASELINE ROAD DENTAL LLC (Organization)	3130 E BASELINE RD 105/106 MESA, AZ 85204 (480) 701-6656		Non-Participating Provider	NO
1366416836	MICHELLE ROCK (Individual)	9937 E BASELINE RD STE 104 MESA, AZ 85209 (480) 615-8585	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1366418162	KENT JAMES SPURLING (Individual)	2727 E. MCKELLIPS RD SUITE 101 MESA, AZ 85213 (480) 612-6352	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1366531402	DERRICK J DICKERSON (Individual)	6755 E SUPERSTITION SPRINGS BLVD 203 MESA, AZ 85206 (480) 218-6030	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1366536823	MICHELLE T VILLANUEVA (Individual)	4996 SOUTH POWER RD MESA, AZ 85212 (480) 840-3600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1366561920	RICHARD P BAKER (Individual)	160 S POWER RD MESA, AZ 85206 (480) 985-1910	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1366598864	MICHAEL DAVID HUMMITZSCH (Individual)	5432 E SOUTHERN AVE STE 108 MESA, AZ 85206 (480) 807-8100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1366670929	TREVOR LEE CAFFALL (Individual)	6812 E. BROWN RD. STE 102 MESA, AZ 85207 (480) 981-8560	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Renaissance Dental	Non-Participating Provider	NO
1366809949	COLIN SMITH (Individual)	2658 S. SIGNAL BUTTE RD. MESA, AZ 85209 (480) 867-3923	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1366962995	MESA ENDODONTICS PLLC (Organization)	2855 E BROWN RD STE 15 MESA, AZ 85213 (480) 324-0500		Non-Participating Provider	NO
1376019075	EAST VALLEY IMPLANT & PERIODONTAL CENTER (Organization)	3048 E BASELINE RD STE 112 MESA, AZ 85204 (480) 558-4504		Non-Participating Provider	NO
1376613414	CARYN H LEE (Individual)	10238 E HAMPTON AVE #105 MESA, AZ 85208 (480) 986-2600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376680561	RICHARD STRUB (Individual)	1161 E MAIN ST MESA, AZ 85203 (480) 834-1555	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
1376744748	RAMEZ NAIM ABILMONA (Individual)	2415 W MAIN ST MESA, AZ 85201 (480) 968-7777	Ambetter from Arizona Complete Health BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1376926303	JARED SPENCER SMITH (Individual)	1130 S COUNTRY CLUB DR MESA, AZ 85210 (480) 461-9866	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386153823	ANGELA S WILSON (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 636-9970	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1386255297	NICHOLAS WILLARD SLATER (Individual)	6963 E MAIN ST MESA, AZ 85207 (480) 981-3047	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386309219	OP ORTHODONTICS OF ARIZONA PLLC (Organization)	5058 E SOUTHERN AVE STE 101 MESA, AZ 85206 (480) 325-7500	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1386477206	JADE CAITILIN KAUR KANDOLA (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Delta Dental of Arizona Florida Combined Life Humana	Non-Participating Provider	NO
1386713345	ROBERT LEE BAKER (Individual)	1927 NORTH GILBERT ROAD SUITE 12 MESA, AZ 85203 (480) 461-9944	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386769438	KARL BAKER (Individual)	500 W SOUTHERN AVE SUITE 1 MESA, AZ 85210 (480) 962-0900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna Delta Dental of Arizona Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1386805802	JOSEPH RICHARD BENTLEY (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 652-2345	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386860112	NORDENT LLC ULTRASMILE (Organization)	1423 S HIGLEY RD STE. 123 MESA, AZ 85206 (480) 830-3138		Non-Participating Provider	NO
1386939148	MICHAEL D ELLIOTT DMD PC (Organization)	564 W 9TH PL SUITE ONE MESA, AZ 85201 (480) 833-8064		Non-Participating Provider	NO
1396064895	LEO B CHRISTENSEN (Individual)	560 N STAPLEY DR ST 2 MESA, AZ 85203 (480) 964-2131	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna Blue Cross and Blue Shield of 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 Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396515425	ARIZONA DENTAL PROFESSIONALS, P.C. (Organization)	9233 E CADENCE PKWY STE 101 MESA, AZ 85212 (480) 618-6444		Non-Participating Provider	NO
1396700993	CHRISTOPHER R. BARNEY (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 655-8687	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396720728	EARL P. DUFFY DDS PC (Organization)	107 N GREENFIELD RD MESA, AZ 85205 (480) 832-5190		Non-Participating Provider	NO
1396814604	MICHAEL A COZZI (Individual)	1240 W SOUTHERN AVE MESA, AZ 85202 (855) 637-9913	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Imperial Insurance Companies Inc. Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396896288	RICK MARTIN SMITH (Individual)	1259 N POWER RD SUITE 2 MESA, AZ 85205 (480) 832-4567		Opted out of Medicare	YES
1407078066	MARK WILLIAM ANDERSON (Individual)	4824 E BASELINE RD BLDG.3 SUITE 122 MESA, AZ 85206 (480) 633-3447	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1407219140	KYLE RATLIFF (Individual)	5058 E. STILL CIRCLE MESA, AZ 85206 (480) 219-6000	Aetna CVS Health Ambetter from Meridian Ambetter Health Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas CareSource Delta Dental of Indiana DentaQuest USA Insurance Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1407309750	SYDNEY PARKER (Individual)	407 N LINDSAY RD MESA, AZ 85213 (480) 218-9720	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1407344567	KIDS DENTAL GROUP PLLC MESA PEDIATRIC DENTISTRY (Organization)	6239 E BROWN RD STE 102 MESA, AZ 85205 (480) 396-3660		Non-Participating Provider	NO
1407585342	VAISHNAVI CHEPYALA (Individual)	10664 E POINT TWENTY TWO BLVD MESA, AZ 85212 (480) 360-3073	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1407994676	DESERT STATE DENTAL ANESTHESIA, LLC (Organization)	625 W SOUTHERN AVE STE E-145 MESA, AZ 85210 (480) 332-5541	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Meridian Ambetter Health Ambetter of Alabama Ambetter of Tennessee	Non-Participating Provider	NO
1417077918	BLAINE RODNEY COUSER (Individual)	4540 E BASELINE RD SUITE # 104 MESA, AZ 85206 (480) 813-2222	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417121880	COUNTRY CLUB DENTAL INC. (Organization)	3050 S COUNTRY CLUB DR STE 18 MESA, AZ 85210 (480) 892-8185	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1417202599	ORRIN LEE MACKEY (Individual)	1113 S SIGNAL BUTTE RD STE 101 MESA, AZ 85208 (480) 986-8013	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417376617	ARIZONA DENTAL SERVICE (Organization)	1629 E UNIVERSITY DR MESA, AZ 85203 (480) 835-1536	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1417413063	PETER VU (Individual)	5350 E HILTON AVE MESA, AZ 85206 (408) 515-9165	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Florida Combined Life Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417527268	SAL SHECKLEY (Individual)	633 N GILBERT RD MESA, AZ 85203 (602) 932-2555	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1417611716	JORDAN RICHARD OVERSTREET (Individual)	3325 E HUBER ST MESA, AZ 85213 (480) 444-8749	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1417902107	JOHN WILLIAM GILLAN (Individual)	2220 W SOUTHERN AVENUE SUITE #102 MESA, AZ 85202 (480) 834-7100	Blue Cross and Blue 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
1427101104	TODD F JORGENSON (Individual)	3048 E BASELINE RD SUITE 112 MESA, AZ 85204 (480) 558-4500	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1427193614	DAVID P. LINDSTROM, D.D.S., P.C. (Organization)	326 N POWER RD MESA, AZ 85205 (480) 981-0394		Non-Participating Provider	NO
1427213172	SCOTT RYAN LEE (Individual)	1911 W MAIN ST SUITE 6 MESA, AZ 85201 (480) 838-4185	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427497940	KRIS GURR (Individual)	1349 W 7TH ST MESA, AZ 85201 (928) 367-1682	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Alaska Florida Combined Life Humana Moda Health Plan Inc. Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1437147410	CHRISTOPHER MARTIN FARNSWORTH (Individual)	2947 N POWER RD STE 103 MESA, AZ 85215 (480) 283-5854	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1437218559	NATHAN T DAVIS (Individual)	2500 S POWER RD SUITE 128 MESA, AZ 85209 (480) 969-8500	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437234135	KEITH MACDONALD (Individual)	5753 E BROWN RD SUITE 101 MESA, AZ 85205 (480) 396-3577	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437369337	ROBERT B. TAYLOR (Individual)	855 E BROWN RD SUITE 4 MESA, AZ 85203 (480) 834-6100	Blue Cross and Blue 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
1437382405	ERIC M MAURER (Individual)	2024 S DON CARLOS MESA, AZ 85202 (480) 838-8558	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437705779	LUVENIA SAYEGH (Individual)	5440 E SOUTHERN AVE STE 107 MESA, AZ 85206 (480) 830-3344	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1447215769	EMERICO GOMEZ (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 655-8687	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447302369	JOSHUA B HASLAM (Individual)	1429 E HARMONY AVE MESA, AZ 85204 (480) 586-8022	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447471024	TYLER N DAVIS (Individual)	2500 S POWER RD STE 102 MESA, AZ 85209 (480) 664-1438	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447479217	ELDON ELMER HASTINGS (Individual)	2500 S POWER RD # 127 MESA, AZ 85209 (480) 807-6453	Blue Cross and Blue 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
1447586615	JOEL M SWITZER (Individual)	1545 S POWER RD STE 112 MESA, AZ 85206 (480) 924-6024	Ambetter from Arizona Complete Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Humana Renaissance Dental	Non-Participating Provider	YES
1457192320	MATTHEW MERCER (Individual)	1130 S COUNTRY CLUB DR # 101 MESA, AZ 85210 (520) 251-3962		Non-Participating Provider	NO
1457545386	BUTHAYNAH ABUNABAH (Individual)	1950 S COUNTRY CLUB DR MESA, AZ 85210 (602) 575-1560	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of NC Delta Dental of North Carolina Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1457579302	CHAD M. CRAVATTA (Individual)	2220 W SOUTHERN AVE STE 101 MESA, AZ 85202 (480) 834-6005	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1457665416	FAHEEM NASAR (Individual)	2025 N POWER RD STE 101 MESA, AZ 85215 (480) 964-1560	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1457702607	ROBERT RADY JONES (Individual)	1815 S CRISMON RD STE 104 MESA, AZ 85209 (480) 672-2453	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1457708786	BRASILIOPUNTIA, LLC GILBERT ROAD DENTAL CARE (Organization)	2158 N GILBERT RD SUITE 123 MESA, AZ 85203 (480) 649-7200		Non-Participating Provider	NO
1457744153	PEMA DENTAL CENTER INC (Organization)	454 N LINDSAY RD STE 4 MESA, AZ 85213 (480) 832-9199	BannerAetna	Non-Participating Provider	NO
1457900656	EAST VALLEY IMPLANT AND PERIODONTAL PLLC (Organization)	3048 E BASELINE RD STE 112 MESA, AZ 85204 (480) 376-2848		Non-Participating Provider	NO
1457906919	YANA V GERHARDT (Individual)	1822 S 39TH ST UNIT 35 MESA, AZ 85206 (415) 235-0816	Ambetter from Arizona Complete 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1467151837	PATRICK SHYN-LIN HUYNH (Individual)	6812 E BROWN RD STE 102 MESA, AZ 85207 (480) 981-8560	Delta Dental of Arizona	Non-Participating Provider	NO
1467507418	MARK W ANDERSON DDS PC (Organization)	4824 E BASELINE RD BLDG 3 SUITE122 MESA, AZ 85206 (480) 633-3447	UnitedHealthcare	Non-Participating Provider	NO
1467570606	LAWRENCE SHULTS (Individual)	3549 E BROWN RD STE 102 MESA, AZ 85213 (480) 634-5686	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467631812	MICHAEL D BROADBENT DDS PC (Organization)	1058 N HIGLEY RD SUITE 212 MESA, AZ 85205 (480) 924-8633		Non-Participating Provider	NO
1467674481	JACK G WRIGHT (Individual)	453 W 5TH ST MESA, AZ 85201 (480) 835-0567	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467784322	NOEL A WILLIAMS (Individual)	6848 E BROWN RD MESA, AZ 85207 (480) 832-8686	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467848242	DEWANE ARTHUR BRUESKE (Individual)	4824 E BASELINE RD STE 140 MESA, AZ 85206 (480) 969-4040	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467946806	LAS SENDAS DENTAL HEALTH LLC (Organization)	2947 N POWER RD STE 103 MESA, AZ 85215 (480) 283-5854		Non-Participating Provider	NO
1477099075	RIVEROAK DENTAL 1 LLC BEST DENTAL (Organization)	1010 W UNIVERSITY DR STE 2 MESA, AZ 85201 (480) 833-1040	BannerAetna	Non-Participating Provider	NO
1477339638	BROWN ROAD DENTAL PARTNERS LLC (Organization)	855 E BROWN RD STE 4 MESA, AZ 85203 (480) 834-6100	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1477520559	JEFFREY BRIAN PICO (Individual)	2500 S POWER RD STE 105 MESA, AZ 85209 (480) 926-1899	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	YES
1477811842	KIDS DENTAL SPECIALISTS LLC (Organization)	1305 S ALMA SCHOOL RD MESA, AZ 85210 (480) 833-3330	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1477821460	MESA MODERN DENTISTRY, LLP MESA MODERN DENTISTRY (Organization)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health BannerAetna Humana	Non-Participating Provider	NO
1477982981	MIGOTO MANAGEMENT, LLC UNIQUE DENTAL CARE (Organization)	1025 S POWER RD STE 106 MESA, AZ 85206 (480) 830-4455		Non-Participating Provider	NO
1487134789	ARIZONA DENTAL PROFESSIONALS, P.C. LONGBOW DENTAL CARE (Organization)	3218 N RECKER RD MESA, AZ 85215 (480) 568-7110	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1487190880	MESA VALLEY MODERN DENTISTRY, LLP MESA VALLEY MODERN DENTISTRY (Organization)	1712 S, COUNTRY CLUB DRIVE, STE 104 MESA, AZ 85210 (480) 376-0593	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1487228961	PEPSQUAD PLLC (Organization)	5215 E SOUTHERN AVE MESA, AZ 85206 (509) 823-4480	Ambetter from Arizona Complete Health DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1487272480	RAMSHA HABIB ULLAH (Individual)	2025 N POWER RD STE 101 MESA, AZ 85215 (480) 964-1560	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1487302154	NASSRIN SAEDI-MARGHMALEKI (Individual)	3218 N RECKER RD MESA, AZ 85215 (480) 568-7110	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1487321998	DENTAL HEALTH AND WELLNESS PLLC (Organization)	4135 S POWER RD STE 101 MESA, AZ 85212 (480) 525-6000		Non-Participating Provider	NO
1487740916	CRAIG R HOLLIS (Individual)	5043 E BROADWAY RD MESA, AZ 85206 (480) 654-5500	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Humana	Non-Participating Provider	NO
1487766853	BRIAN R. PETERSON (Individual)	6812 E BROWN RD SUITE 101 MESA, AZ 85207 (480) 325-3368	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1487792594	FAMILY TOOTH DOCTOR LL, LLC (Organization)	4435 E BROADWAY RD SUITE 9 MESA, AZ 85206 (480) 223-0255	Blue Cross and Blue 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
1487852810	JASON KOLE PERKINS (Individual)	2158 N GILBERT RD STE 123 MESA, AZ 85203 (480) 649-7200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1487878377	MARK D. VOIGT, D.D.S., P.C. DOBSON RANCH DETAL CARE (Organization)	2024 S DON CARLOS SUITE A MESA, AZ 85202 (480) 838-8558		Non-Participating Provider	NO
1487883310	LP HAMMETT MOBILE DENTISTRY OF ARIZONA (Organization)	2733 N POWER RD SUITE 102-449 MESA, AZ 85215 (480) 313-3310		Non-Participating Provider	NO
1497045694	NATHANIAL EDWARD FARLEY (Individual)	1056 S VAL VISTA DR STE 103 MESA, AZ 85204 (480) 832-1375	Blue Cross and Blue 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
1497812606	YEN CHUN WANG (Individual)	6328 E BROWN RD SUITE 101-102 MESA, AZ 85205 (480) 325-5700	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1497818306	TIMOTHY HYRUM KINDT (Individual)	1244 N GREENFIELD RD #105 MESA, AZ 85205 (480) 981-0094	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana	Non-Participating Provider	NO
1497921233	DAVID C BANKS (Individual)	3544 E SOUTHERN AVE SUITE 106 MESA, AZ 85204 (480) 924-1177		Non-Participating Provider	NO
1497935514	BRIAN CAHILL, D.D.S., INC (Organization)	4540 E BASELINE RD STE 101 MESA, AZ 85206 (480) 632-6222		Non-Participating Provider	NO
1497958870	MICHAEL JAMES STOOR (Individual)	407 N LINDSAY RD SUITE 101 MESA, AZ 85213 (480) 218-9720	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508178898	JOHN WILLIAM TAYLOR (Individual)	4540 E. BASELINE RD SUITE 102 MESA, AZ 85206 (480) 830-5466	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508247438	MOUNTAIN BRIDGE DENTAL (Organization)	6812 E BROWN RD STE 102 MESA, AZ 85207 (480) 981-8560	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1508306762	MOLLY DANIELLE BRIGGS (Individual)	855 E BROWN RD STE 4 MESA, AZ 85203 (931) 286-0536	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Dominion National EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508758657	ORAL FACIAL SURGERY INSTITUTE, PC (Organization)	2855 E BROWN RD STE 5 MESA, AZ 85213 (480) 659-5977		Non-Participating Provider	NO
1508874496	BRENT H. MASON, DDS, PC (Organization)	855 E BROWN RD #1 MESA, AZ 85203 (480) 969-2991	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1508904707	CHRISTOPHER E. SCHOMAKER (Individual)	1161 E MAIN ST MESA, AZ 85203 (480) 834-1555	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508998402	LARRY DEAN ADAMS (Individual)	623 EAST UNIVERSITY DRIVE MESA, AZ 85203 (480) 833-7070		Non-Participating Provider	NO
1518151778	EDWIN JOHN JUSZAK (Individual)	2711 S ALMA SCHOOL RD 10 MESA, AZ 85210 (480) 820-3755	Blue Cross and Blue 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
1518158872	UYEN NGUYEN (Individual)	944 N GILBERT RD 101 MESA, AZ 85203 (480) 833-4180	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1518174408	GARY L. WATKINS DDS PC (Organization)	560 N STAPLEY DR SUITE 2 MESA, AZ 85203 (480) 964-2131		Non-Participating Provider	NO
1518232701	NIELS JENSEN (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 102 MESA, AZ 85206 (702) 335-3784	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1518256924	SUMIR PRASAD MATHUR (Individual)	3017 E INDIGO ST MESA, AZ 85213 (480) 832-4725	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1518270248	MOUNTAINSIDE DENTAL GROUP, LLC (Organization)	6549 E UNIVERSITY DR SUITE B MESA, AZ 85205 (480) 981-0590		Non-Participating Provider	NO
1518404714	SCOTT J PHELPS (Individual)	3048 E BASELINE RD STE 126 MESA, AZ 85204 (480) 832-3400	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Humana Renaissance Dental	Non-Participating Provider	YES
1518573237	ISHPREET KAUR (Individual)	1310 E MCKELLIPS RD STE 105 MESA, AZ 85203 (480) 697-6393	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Cigna Healthcare Delta Dental of Arizona Dentegra Insurance Company Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1528144052	RANDALL C. BRETZING (Organization)	2820 E UNIVERSITY DR SUITE 108 MESA, AZ 85213 (480) 830-0262		Non-Participating Provider	NO
1528193810	MICHAEL J HYNEMAN DMD PC (Organization)	1905 E MCKELLIPS RD MESA, AZ 85203 (480) 649-1949	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1528265469	JANICE T. LIAO D.D.S PC (Organization)	1440 S COUNTRY CLUB DR STE 23 MESA, AZ 85210 (480) 461-3400		Non-Participating Provider	NO
1528356201	SCOTT H JOSEPHSON (Individual)	10949 E BELLA VIA MESA, AZ 85212 (480) 250-8861	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1528392891	KIDS DENTAL 2 P.C. KIDS DENTAL PLACE (Organization)	3130 E BASELINE RD #103-104 MESA, AZ 85204 (480) 813-3423	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1528418985	CHRISTOPHER SMITH (Individual)	4338 E FLORIAN AVE #104, MESA, AZ 85206 (480) 396-6100	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1528504628	JCWEST DMD PLLC DESERT SUN PEDIATRIC DENTISTRY (Organization)	2040 E BROWN RD MESA, AZ 85213 (480) 250-5843	DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1528514049	LIGHT TOUCH LASER AND DENTAL IMPLANT CENTER, PLLC LIGHT TOUCH DENTAL LASER AND IMPLANT CENTER (Organization)	2727 E MCKELLIPS RD SUITE 101 MESA, AZ 85213 (480) 612-6352	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1528530284	AZ MAX SURGEONS PLC ARIZONA MAXILLOFACIAL SURGEONS PC (Organization)	6755 E SUPERSTITION SPRINGS BLVD STE 103 MESA, AZ 85206 (480) 830-5866	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1538204789	DAVID P. LINDSTROM (Individual)	326 N POWER RD MESA, AZ 85205 (480) 981-0394	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1538316674	NICK RANDALL (Individual)	2045 S VINEYARD SUITE 153 MESA, AZ 85210 (480) 833-2232	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538472600	THOMAS A NACK (Individual)	4996 S POWER RD MESA, AZ 85212 (480) 840-3600	Delta Dental of Arizona Humana	Non-Participating Provider	NO
1538725387	DENTISTS OF MESA, LLP DENTISTS OF MESA (Organization)	4401 E MCKELLIPS RD STE 102 MESA, AZ 85215 (480) 550-8204	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1538925995	AZ SPECIALTY DENTAL SERVICES LLC (Organization)	2835 E BROWN RD STE 102 MESA, AZ 85213 (480) 832-3830		Non-Participating Provider	NO
1538999743	HARPREET KAUR (Individual)	10130 E POSADA AVE MESA, AZ 85212 (602) 705-9155		Non-Participating Provider	NO
1548271497	GERALD LEE DIQUATTRO (Individual)	1545 E UNIVERSITY MESA, AZ 85203 (480) 834-9001	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 Blue Cross Blue Shield of Arizona Humana	Non-Participating Provider	NO
1548444995	NATHAN R. KITCHEN, D.M.D., PC (Organization)	1259 N POWER RD #1 MESA, AZ 85205 (480) 830-8946	UnitedHealthcare	Non-Participating Provider	NO
1548474893	RANDALL C. BRETZING (Individual)	2820 E UNIVERSITY DR SUITE 108 MESA, AZ 85213 (480) 830-0262	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
1548534035	ISAAC EDMUNDSON PRATT (Individual)	1712 S COUNTRY CLUB DR STE 104 MESA, AZ 85210 (480) 376-0593	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1548549744	SIREESHA VEERANKI (Individual)	3440 E BASELINE RD SUITE 106 MESA, AZ 85204 (480) 926-2350	Blue Cross and Blue Shield of 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 Arizona Guardian Humana TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1548749187	PARIA HOOSHMAND (Individual)	2345 S ANANEA MESA, AZ 85209 (520) 300-0646	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Imperial Insurance Companies Inc. Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1548886955	LILY CHEN (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1558257857	RUBY NGOC NGUYEN (Individual)	2318 S COUNTRY CLUB DR APT 1118 MESA, AZ 85210 (562) 607-5232		Non-Participating Provider	NO
1558365809	BRIAN FRANCIS CAHILL (Individual)	4540 E BASELINE RD STE 101 MESA, AZ 85206 (480) 632-6222	Anthem Blue Cross and Blue Shield Delta Dental of North Carolina	Non-Participating Provider	NO
1558412734	BRAD D. JUSTESEN (Individual)	2120 W GUADALUPE RD #5 MESA, AZ 85202 (480) 839-0985	Blue Cross and Blue 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
1558493460	DICKERSON ENTERPRISES, INCORPORATED (Organization)	6755 E SUPERSTITION SPRINGS BLVD SUITE 203 MESA, AZ 85206 (480) 218-6030		Non-Participating Provider	NO
1558581769	BRAD D. JUSTESEN D.D.S., P.C. (Organization)	2120 W. GUADALUPE RD. STUITE 5 MESA, AZ 85202 (480) 839-0985		Non-Participating Provider	NO
1558584045	MARK S. HAMBLIN (Individual)	6755 E SUPERSTITION SPRINGS BLVD SUITE #202 MESA, AZ 85206 (480) 981-3311	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1558656785	TONG PHILLIP SHIN (Individual)	5432 E SOUTHERN AVE STE 108 MESA, AZ 85206 (480) 807-8100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1558723213	BROCH THOMAS (Individual)	1920 S STAPLEY DR STE 105 MESA, AZ 85204 (480) 545-5300	Aetna CVS Health Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1558793430	GREENFIELD DENTAL PLLC (Organization)	107 N. GREENFIELD RD. STE. #2 MESA, AZ 85205 (480) 832-5190		Non-Participating Provider	NO
1568482206	MARK S ARROYO (Individual)	3505 E BROWN RD MESA, AZ 85213 (801) 550-4258	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568635894	BRIAN R. PETERSON, D.D.S., PC (Organization)	6812 E BROWN RD SUITE 101 MESA, AZ 85207 (480) 325-3368	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1568678670	GLORIA A CHEN KAYE (Individual)	2058 S DOBSON RD SUITE 13 MESA, AZ 85202 (480) 820-2795	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1568778538	MERRILL RANCH DENTAL COMPANY, P.C. MERRILL RANCH FAMILY DENTAL (Organization)	4704 E SOUTHERN AVE MESA, AZ 85206 (480) 648-4037	BannerAetna	Non-Participating Provider	NO
1568980001	AARON CLARK NELSON (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 102 MESA, AZ 85206 (480) 218-7590	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental	Opted out of Medicare	YES
1578116679	ARIZONA DENTAL PROFESSIONALS, P.C. PARKWOOD RANCH DENTAL CARE (Organization)	10749 E SOUTHERN AVE MESA, AZ 85209 (480) 325-8986	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1578687588	POWER SMILES (Organization)	1914 S POWER RD SUITE 103 MESA, AZ 85206 (480) 641-4633		Non-Participating Provider	NO
1578694659	GREGORY GARN (Individual)	2835 E BROWN RD STE 102 MESA, AZ 85213 (480) 832-3830	Ambetter from Arizona Complete Health Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1578751160	ROBERT CEDERBERG (Individual)	5850 E STILL CIR MESA, AZ 85206 (480) 248-8151	Delta Dental PPO	Non-Participating Provider	NO
1578772315	FAMILY DENTISTRY LLC (Organization)	1830 S ALMA SCHOOL RD SUITE #110 MESA, AZ 85210 (480) 834-1317	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1578787461	ALI H NIA (Individual)	1930 S DOBSON RD STE 1 MESA, AZ 85202 (480) 730-0500	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1588092738	SAMUEL ZACHARY TANNER (Individual)	944 N GILBERT RD MESA, AZ 85203 (480) 649-7200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1588200265	SIGNAL BUTTE KIDS DENTISTRY AND ORTHODONTICS, LLP (Organization)	10664 E. POINT TWENTY TWO BLVD MESA, AZ 85212 (480) 480-3603	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1588619274	ROBERT ANDREW LEES (Individual)	2220 W SOUTHERN AVENUE SUITE 102 MESA, AZ 85202 (480) 834-7100		Non-Participating Provider	NO
1588733372	KRISTOPHER DAVIS HEAP (Individual)	4434 E BROWN RD SUITE 104 MESA, AZ 85205 (480) 654-3000	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598228132	JOE J PANELLI (Individual)	2824 N POWER RD STE 108 MESA, AZ 85215 (480) 641-4567		Non-Participating Provider	NO
1598452047	MICHAEL JUNG (Individual)	944 N GILBERT RD STE 104 MESA, AZ 85203 (480) 834-5000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental of Arizona Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1598509796	SCOTTSDALE PEDIATRIC DENTISTRY (Organization)	1457 W SOUTHERN AVE STE 18 MESA, AZ 85202 (480) 645-9988	DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1598893356	IBRAHIM ISMAIL (Individual)	1762 S GREENFIELD RD STE 103 MESA, AZ 85206 (480) 633-7771		Non-Participating Provider	NO
1598982589	MARK R. SCILLEY, DDS, PC (Organization)	855 E BROWN RD SUITE 7 MESA, AZ 85203 (480) 834-0890		Non-Participating Provider	NO
1598983405	TAYLOR & WOOLF, P.A. (Organization)	855 E BROWN RD STE 4 MESA, AZ 85203 (480) 834-6100		Non-Participating Provider	NO
1609166644	NICHOLAS D ALLAN (Individual)	2831 E SOUTHERN AVE #215 MESA, AZ 85204 (618) 972-8464		Non-Participating Provider	YES
1609306190	MARK JOSEPH MERY (Individual)	1113 S SIGNAL BUTTE RD STE 101 MESA, AZ 85208 (480) 986-8013	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1609475060	HAPPY MOLAR DENTAL LLC (Organization)	67 N DOBSON RD STE A-104 MESA, AZ 85201 (480) 900-7838		Non-Participating Provider	NO
1609853241	AMY ASH (Individual)	6239 E BROWN RD SUITE 102 MESA, AZ 85205 (480) 396-3660	Anthem Blue Cross and Blue Shield Blue Cross Blue Shield of Arizona Humana	Non-Participating Provider	NO
1609853365	BRENT RUSSELL BOYSE (Individual)	6755 E SUPERSTITION SPRINGS BLVD SUITE 103 MESA, AZ 85206 (480) 830-5866		Opted out of Medicare	YES
1609897032	MICHAEL GLICK (Individual)	5850 E STILL CIR MESA, AZ 85206 (480) 219-6103		Non-Participating Provider	NO
1619075850	NICK N.K. HUYNH (Individual)	1236 E BASELINE RD STE 103 MESA, AZ 85204 (480) 503-3600	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1619120540	VASUDHA NARRA (Individual)	67 N DOBSON RD STE 104 MESA, AZ 85201 (888) 785-2336	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1619197332	NATHAN T DAVIS DDS PC (Organization)	2500 S POWER RD STE 128 MESA, AZ 85209 (480) 969-8500		Non-Participating Provider	NO
1619315132	RAUCH FAMILY DENTISTRY PLLC (Organization)	2150 E BROWN RD STE 4 MESA, AZ 85213 (480) 361-4923	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1619346970	YUKTI GARG (Individual)	1113 S SIGNAL BUTTE RD STE 101 MESA, AZ 85208 (480) 582-1199	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1619863263	KATIE ANN LEIDHOLD (Individual)	1801 E SOUTHERN AVE STE 101 MESA, AZ 85204 (480) 892-9000		Non-Participating Provider	NO
1619937240	DONALD N CLIFFORD (Individual)	3048 E BASELINE RD #128 MESA, AZ 85204 (480) 820-6080	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue 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
1619969276	LEONARD AARON KOLTUN (Individual)	1425 S GREENFIELD RD STE 110 MESA, AZ 85206 (480) 854-3434	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1629089867	NATHAN RICHARD YETTER (Individual)	1249 N. GREENFIELD RD. STE 101 MESA, AZ 85205 (480) 615-8888	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1629214820	MATTHEW RYAN WALL (Individual)	625 W SOUTHERN AVE STE E-145 MESA, AZ 85210 (602) 759-2131	Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1629223367	CHRISTINE ANN HALKET (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8162		Opted out of Medicare	YES
1629249644	CHARLES A DODARO (Individual)	1056 S VAL VISTA DR SUITE 1 MESA, AZ 85204 (480) 834-6991	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1629621982	MY DENTIST ENTERPRISES, INC. (Organization)	2045 S VINEYARD STE 153 MESA, AZ 85210 (480) 833-2232		Non-Participating Provider	NO
1639138084	ROGER RYAN ROYBAL (Individual)	2150 S DOBSON RD STE 3 MESA, AZ 85202 (623) 299-8799	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Guardian	Maybe Accepts Medicare	YES
1639283153	BEST DENTAL CORPORATION BEST DENTAL (Organization)	1010 W UNIVERSITY DR #2 MESA, AZ 85201 (480) 833-1040	Ambetter from Meridian Ambetter Health	Non-Participating Provider	NO
1639370745	ELWYNN CHAD CAFFALL (Individual)	1801 E SOUTHERN AVE SUITE 101 MESA, AZ 85204 (480) 892-0060	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Renaissance Dental	Non-Participating Provider	NO
1639397698	ALMA SCHOOL DENTAL MANAGEMENT (Organization)	2711 S ALMA SCHOOL RD SUITE 10 MESA, AZ 85210 (480) 820-3755		Non-Participating Provider	NO
1639469752	KENT J HOWELL (Individual)	1056 S VAL VISTA DR STE 103 MESA, AZ 85204 (480) 832-1375	Blue Cross and Blue 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
1639907801	SANA SULTAN LODHI (Individual)	2025 N POWER RD MESA, AZ 85215 (480) 964-1560	BEST Life Delta Dental of Arizona Florida Combined Life Humana TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1649306093	WESTERN DENTAL SERVICES, INC. (Organization)	1161 E MAIN ST MESA, AZ 85203 (480) 615-0900		Non-Participating Provider	NO
1649323387	STEPHEN C DRIGGS, DDS AND RICK TURLEY, DDS, PLC (Organization)	1102 S GREENFIELD RD MESA, AZ 85206 (480) 969-0077	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1649350091	KENT WAYNE STAPLEY (Individual)	1259 N POWER RD MESA, AZ 85205 (480) 830-8946	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649424342	JASON KNAPP JUDD (Individual)	1942 E SOUTHERN AVE MESA, AZ 85204 (480) 545-7500	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649486960	MICHAEL KAYE (Individual)	2058 S DOBSON RD SUITE 13 MESA, AZ 85202 (480) 820-2300	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649531658	MESA DENTAL PARTNERS LLC RISAS DENTAL AND BRACES (Organization)	1928 E. MAIN ST. MESA, AZ 85203 (480) 729-6090		Non-Participating Provider	NO
1649956376	SERGIO GARCIA (Individual)	1712 S COUNTRY CLUB DR STE 104 MESA, AZ 85210 (480) 376-0593	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1659103174	JALAK SHAH (Individual)	1240 E BASELINE RD STE 100 MESA, AZ 85204 (480) 576-7378	Delta Dental of Arizona Florida Combined Life	Non-Participating Provider	NO
1659407369	STUART LUND FROST (Individual)	4827 E SOUTHERN AVE 200 MESA, AZ 85206 (480) 325-7500	BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1659409134	JARED BOWMAN WILLIAMS (Individual)	855 E BROWN RD SUITE 3 MESA, AZ 85203 (480) 962-1561	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1659412005	DAVID MICHAEL BUHRLEY (Individual)	4425 S MOUNTAIN RD STE 106 MESA, AZ 85212 (480) 292-8429	Ambetter from Arizona Complete Health BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1659441376	JANICE T LIAO (Individual)	9061 E BASELINE RD STE. B 103 MESA, AZ 85209 (480) 380-3737	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1659462372	MESA DENTAL GROUP LLC GILBERT ROAD DENTAL CARE (Organization)	2017 E ADOBE ST SUITE 6 MESA, AZ 85213 (480) 649-7200		Non-Participating Provider	NO
1659574796	JOHN FRANCIS DIRKS (Individual)	4830 E MAIN ST B-7 MESA, AZ 85205 (480) 832-3335		Non-Participating Provider	NO
1659629624	MIRAN HO (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1659659142	VINH T HUYNH (Individual)	1905 E MCKELLIPS RD MESA, AZ 85203 (480) 526-3664	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1659778637	CITRUS VALLEY DENTAL CARE, LLC (Organization)	215 S POWER RD STE 101 MESA, AZ 85206 (480) 982-0782	UnitedHealthcare	Non-Participating Provider	NO
1659991149	JOHN BUI (Individual)	5850 E STILL CIR MESA, AZ 85206 (480) 219-6000	Anthem Blue Cross and Blue Shield BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1669364725	JACOB KAOPUA (Individual)	1240 E BASELINE RD STE 100 MESA, AZ 85204 (480) 576-7378		Non-Participating Provider	NO
1669527529	PAUL ROBERT FILLMORE (Individual)	107 N GREENFIELD RD SUITE 1 MESA, AZ 85205 (480) 832-5900		Non-Participating Provider	NO
1669559894	ALEXANDER RICHARD LOBERT (Individual)	4355 E UNIVERSITY DR SUITE 103 MESA, AZ 85205 (480) 830-0187		Non-Participating Provider	NO
1669723631	ROSTAMI & ASSOCIATES PLC (Organization)	1731 W BASELINE RD STE 104 MESA, AZ 85202 (480) 755-1200		Non-Participating Provider	NO
1669778700	BYRON DEREK FARNSWORTH (Individual)	2947 N POWER RD STE. E103 MESA, AZ 85215 (480) 283-5854	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1679027817	AZ RED MOUNTAIN PEDIATRIC DENTAL PLLC (Organization)	9101 E BROWN RD 102 MESA, AZ 85207 (480) 565-8500	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. DentaTrust	Non-Participating Provider	NO
1679049878	BANKS PEDIATRIC DENTISTRY PLLC (Organization)	2500 S POWER RD STE 128 MESA, AZ 85209 (480) 699-8082	DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1679257299	NEAL KALPESH PATEL (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 636-9970	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1679313407	AZ SPECIALTY DENTAL SERVICES, LLC (Organization)	3549 E BROWN RD STE 102 MESA, AZ 85213 (480) 634-5686		Non-Participating Provider	NO
1679318620	NOORHAN ALJUBOORI (Individual)	2214 S REVOLTA APT SUITE MESA, AZ 85209 (717) 341-9397	Delta Dental of Arizona Florida Combined Life Guardian Humana	Non-Participating Provider	NO
1679336788	DENTISTS OF NORTH MESA, LLP (Organization)	1310 E MCKELLIPS RD STE 105 MESA, AZ 85203 (480) 697-6393	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1679463723	AZ FAMILY AND KIDS DENTAL MESA LLC (Organization)	1942 E SOUTHERN AVE STE 103 MESA, AZ 85204 (480) 733-9800		Non-Participating Provider	NO
1679632061	ROBERT O. CASELDINE, DDS, PC (Organization)	633 N GILBERT RD MESA, AZ 85203 (480) 898-3053		Non-Participating Provider	NO
1679665871	TYREL TIMOTHY BEAVERS (Individual)	1259 N. POWER RD #2 MESA, AZ 85205 (480) 832-4567	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1689012809	AARON EDGAR BUYACK (Individual)	9101 E BROWN RD STE 102 MESA, AZ 85207 (480) 565-8555	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue 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
1689368276	MINAN MANSOUR (Individual)	1901 S SIGNAL BUTTE RD STE 107 MESA, AZ 85209 (480) 305-0877	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1689462467	GLISTEN DENTAL MESA DBA SUNVIEW DENTAL (Organization)	633 N GILBERT RD MESA, AZ 85203 (602) 932-2555		Non-Participating Provider	NO
1689634909	JEAN E HILLIARD (Individual)	2058 S DOBSON RD SUITE 8 MESA, AZ 85202 (480) 831-8800		Non-Participating Provider	NO
1689669012	GARY A ROBISON (Individual)	2855 E BROWN RD STE 23 MESA, AZ 85213 (480) 924-2300	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1689715799	CARE FOR KIDS OF ARIZONA A TOOTH DOCTOR FOR KIDS-EAST (Organization)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 655-8687		Non-Participating Provider	NO
1689755142	DENTAL ONE, INC. ASHBROOK DENTAL CARE AND ORTHODONTICS (Organization)	1229 E. MCKELLIPS ROAD #106 MESA, AZ 85203 (480) 834-0890		Non-Participating Provider	NO
1689856148	DAVID JOHN ELLINGSON (Individual)	3549 E BROWN RD STE 104 MESA, AZ 85213 (480) 830-2956	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1699125534	AMIR SOBHI (Individual)	5432 E SOUTHERN AVE STE 108 MESA, AZ 85206 (480) 807-8100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1699425686	TODD BONESTEEL (Individual)	5835 E STILL CIR MESA, AZ 85206 (480) 219-6000	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700019767	GHAYATHRI RAVICHANDRAN (Individual)	483 W. SEED FARM RD. MESA, AZ 85147 (602) 528-1200	Ambetter from Arizona Complete 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1700628310	DREW MITCHELL FARNSWORTH (Individual)	2947 N POWER RD MESA, AZ 85215 (480) 283-5854	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700840386	BENJAMIN PATRICK LARRABEE (Individual)	1810 S CRISMON RD SUITE 183 MESA, AZ 85209 (480) 357-4900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700958352	STEPHEN CALLAN (Individual)	2346 E BROWN RD MESA, AZ 85213 (480) 969-3069	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700968906	WILLIAM G WOODS (Individual)	2855 E BROWN RD STE #22 MESA, AZ 85213 (480) 830-2956	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1710140686	NATHAN RAY PORTER (Individual)	855 E BROWN RD SUITE 4 MESA, AZ 85203 (480) 834-6100	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710148663	CUSTOM SMILE LLC (Organization)	2919 S ELLSWORTH RD SUITE 141 MESA, AZ 85212 (480) 307-8430		Non-Participating Provider	NO
1710390448	MICHAEL TYLER BROADBENT (Individual)	1058 N HIGLEY RD SUITE 212 MESA, AZ 85205 (480) 924-8633	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1710502679	MATTHEW HENRY MCCLEMENT (Individual)	1157 S CRISMON RD STE 103 MESA, AZ 85208 (520) 220-5266	Delta Dental of Arizona Guardian	Non-Participating Provider	YES
1710570692	SONYA TUNG CHOI (Individual)	5835 E STILL CIR MESA, AZ 85206 (480) 248-8107	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1710625579	KHUSHBU AHIR (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 636-9970	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710914593	MICHAEL LEE JOHNSON (Individual)	6812 E BROWN RD MESA, AZ 85207 (480) 981-8560		Non-Participating Provider	NO
1720166499	STEPHEN L. WALKER (Individual)	2220 W SOUTHERN AVE 102 MESA, AZ 85202 (480) 834-7100	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1720307259	CHRISTENSEN FAMILY DENTISTRY (Organization)	560 N STAPLEY DR STE 2 MESA, AZ 85203 (480) 964-2131	BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1720692502	JONATHAN LANE SANDERS (Individual)	1801 E SOUTHERN AVE MESA, AZ 85204 (480) 892-9000	Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Renaissance Dental	Non-Participating Provider	NO
1730201385	ANDREW T WEIR, DDS, PC (Organization)	1423 S HIGLEY RD SUITE 117 MESA, AZ 85206 (480) 807-3332		Non-Participating Provider	NO
1730264318	MICHAEL DAVID MARGOLIS (Individual)	1303 S LONGMORE SUITE 1 MESA, AZ 85202 (480) 833-2232		Non-Participating Provider	NO
1730363185	KENT W. STAPLEY, D.M.D, LLC (Organization)	1259 N POWER RD #1 MESA, AZ 85205 (480) 830-8946	UnitedHealthcare	Non-Participating Provider	NO
1730418468	CANYON LAKES DENTAL GROUP AND ORTHODONTICS, LLP CANYON LAKES DENTAL AND ORTHODONTICS (Organization)	2025 N POWER RD SUITE 101 MESA, AZ 85215 (480) 964-1560	Ambetter from Arizona Complete Health BannerAetna Humana	Non-Participating Provider	NO
1730498320	A2ZPD LLC A TO Z PEDIATRIC DENTISTRY (Organization)	1810 S CRISMON RD STE 189 MESA, AZ 85209 (480) 503-3764	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1740474097	VIRNA LIZA VILLAS (Individual)	1804 S SIGNAL BUTTE RD MESA, AZ 85209 (480) 380-2525	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 UnitedHealthcare	Non-Participating Provider	YES
1740485978	SOUTHERN SQUARE DENTISTRY PLC (Organization)	5440 E SOUTHERN AVE SUITE 107 MESA, AZ 85206 (480) 830-3344		Non-Participating Provider	NO
1740515352	DAVID RYAN ERICKSEN (Individual)	1010 E UNIVERSITY DR MESA, AZ 85203 (480) 644-7777	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1740596717	COPPER FAMILY DENTAL COMPANY, P.C. (Organization)	4704 E SOUTHERN AVE MESA, AZ 85206 (480) 648-4037	BannerAetna	Non-Participating Provider	NO
1740772771	JASON BURNS (Individual)	5440 E SOUTHERN AVE STE 107 MESA, AZ 85206 (480) 830-3344	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1740928613	MATTHEW MIGDAT (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Delta Dental of Arizona Guardian	Non-Participating Provider	NO
1750301206	DOUGLAS R BUCKLEY (Individual)	2058 S DOBSON RD SUITE 3 MESA, AZ 85202 (480) 345-8597	Blue Cross and Blue 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
1750325304	KEVEN T COOK (Individual)	944 N GILBERT RD SUITE #104 MESA, AZ 85203 (480) 834-5000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1750330460	JOSEPH G. SALKIND (Individual)	2733 N POWER RD MESA, AZ 85215 (480) 924-7800		Non-Participating Provider	NO
1750340626	ERIC G MARINOFF (Individual)	2058 S DOBSON RD SUITE 8 MESA, AZ 85202 (480) 831-8800		Non-Participating Provider	NO
1750391272	MICHAEL WAHBAH (Individual)	59 S HIBBERT MESA, AZ 85210 (602) 344-6209	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 Blue Cross Blue Shield of Arizona Guardian Humana UnitedHealthcare	Non-Participating Provider	YES
1750495743	E. MARK WADE DDSPC FAMILY CARE DENTISTRY (Organization)	1121 S GILBERT RD #104 MESA, AZ 85204 (480) 926-7363		Non-Participating Provider	NO
1750502456	CHET L. JENKINS (Individual)	335 N STAPLEY DR MESA, AZ 85203 (480) 964-2662	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1750511739	DAVID D SMITH (Individual)	1113 S SIGNAL BUTTE RD STE 101 MESA, AZ 85208 (480) 986-8013	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750545208	LORENA MOORHEAD (Individual)	1050 E UNIVERSITY DR STE 11 MESA, AZ 85203 (480) 610-2401	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750655627	JONATHAN BRUCE BARNES (Individual)	1630 S STAPLEY DR STE 208 MESA, AZ 85204 (480) 775-2656	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750699740	KATIA MORTAZAVINIA (Individual)	9221 E BASELINE RD STE 111 MESA, AZ 85209 (480) 265-8702	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1750712741	DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA RED MOUNTAIN FAMILY DENTAL (Organization)	1909 N POWER RD STE 103 MESA, AZ 85205 (480) 641-4165		Non-Participating Provider	NO
1760098123	AZ MAX DENTAL IMPLANTS PLC (Organization)	6755 E SUPERSTITION SPRINGS BLVD STE 103 MESA, AZ 85206 (480) 830-5866		Non-Participating Provider	NO
1760216816	CHAD M CRAVATTA DMD MS PLLC (Organization)	2220 W SOUTHERN AVE STE 101 MESA, AZ 85202 (480) 834-6005		Non-Participating Provider	NO
1760404495	ERIC REID NIELSON (Individual)	3035 S ELLSWORTH RD 138 MESA, AZ 85212 (480) 357-9442	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1760469787	MICHAEL DOTSON ELLIOTT (Individual)	564 W 9TH PL SUITE 1 MESA, AZ 85201 (480) 833-8064	Blue Cross and Blue 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
1760884001	LARISA R SMITH (Individual)	1705 W MAIN ST MESA, AZ 85201 (480) 247-7303	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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
1770329872	WALTER PLUNKETT (Individual)	1712 S COUNTRY CLUB DR STE 104 MESA, AZ 85210 (480) 376-0593	Delta Dental of Arizona Florida Combined Life Humana	Non-Participating Provider	NO
1770547838	R KEITH FARR (Individual)	4540 E BASELINE RD STE 111 MESA, AZ 85206 (480) 834-8035	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770609000	COSMETIC FAMILY DENTAL CLINIC PC (Organization)	1236 E BASELINE RD #103 MESA, AZ 85204 (480) 503-3600		Non-Participating Provider	NO
1770633992	RONALD L ROCK DDS PC (Organization)	2346 E BROWN RD MESA, AZ 85213 (480) 834-5555		Non-Participating Provider	NO
1770656233	ALPINE DENTAL CARE (Organization)	4135 S. POWER RD. SUITE 101 MESA, AZ 85212 (480) 813-0003		Non-Participating Provider	NO
1770734741	INTEGRITY FIRST, INC (Organization)	2824 N. POWER RD. #108 MESA, AZ 85215 (480) 641-4567		Non-Participating Provider	NO
1770831430	BRIAN GLEN BANKS (Individual)	2500 S POWER RD STE 128 MESA, AZ 85209 (480) 699-8082	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1770840951	FIESTA KIDS DENTAL LLC (Organization)	1303 S LONGMORE SUITE #1 MESA, AZ 85202 (480) 733-5437	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1770898488	DAVID GLEN MORTENSON (Individual)	2208 S BARRINGTON MESA, AZ 85209 (480) 450-0829	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1780343350	HOOMAN MONAJEMI (Individual)	944 N GILBERT RD STE 101 MESA, AZ 85203 (480) 741-2706	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1780425207	LANA KAYATA (Individual)	1003 N DOBSON RD STE 101 MESA, AZ 85201 (480) 267-9920	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1780830240	AARON A. JARVIS (Individual)	1161 E MAIN ST MESA, AZ 85203 (480) 962-6983	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1780995159	ARIZONA DENTAL PROFESSIONALS, P.C. SMILES ON SOUTHERN (Organization)	5432 E SOUTHERN AVE STE 108 MESA, AZ 85206 (480) 807-8100	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1790152403	CLARK CHEN (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 219-6000	BannerAetna Cigna Healthcare Delta Dental of Arizona Humana	Non-Participating Provider	NO
1790308286	LOGAN CORNWELL (Individual)	1025 S POWER RD STE 106 MESA, AZ 85206 (480) 386-9111		Non-Participating Provider	NO
1790759439	JOEL R. CLARK (Individual)	1925 S SOSSAMAN RD 211 MESA, AZ 85209 (480) 503-3764	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1790827699	SUN WEST DENTAL III, LLC SUNWEST DENTAL MESA (Organization)	600 E. UNIVERSITY DR. MESA, AZ 85203 (480) 610-5100	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1790886281	WPF HOLDINGS LLC SOUTHERN VISTA DENTAL CARE (Organization)	1801 E SOUTHERN AVE SUITE 101 MESA, AZ 85204 (480) 892-0060	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1790902070	ALI H. NIA, D.M.D., P.C. MESA DENTAL CARE (Organization)	1930 S DOBSON RD SUITE #1 MESA, AZ 85202 (480) 730-0500	BannerAetna DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1801137765	ALEJANDRA FERNANDEZ (Individual)	215 S POWER RD STE 101 MESA, AZ 85206 (520) 630-2022	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1801255450	CARIS MARKOS MILLER (Individual)	2158 N GILBERT RD STE 123 MESA, AZ 85203 (480) 649-7200	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	NO
1801273818	GENTLE TOOTH DOCTOR PLLC (Organization)	4435 E BROADWAY RD # 9 MESA, AZ 85206 (480) 397-0635		Non-Participating Provider	NO
1801438585	RAUCH DENTAL ASSOCIATES LLC (Organization)	2820 E UNIVERSITY DR STE 108 MESA, AZ 85213 (480) 361-4923	Ambetter from Arizona Complete Health BannerAetna Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1801466503	CHRISTOPHER C ROCHELEAU (Individual)	1830 S ALMA SCHOOL RD STE 110 MESA, AZ 85210 (480) 834-1317	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1801561121	MICHAEL HUGHES (Individual)	1762 S GREENFIELD RD STE 103&104 MESA, AZ 85206 (480) 633-7771	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1801888102	JAMES A PIROLLI (Individual)	1804 S SIGNAL BUTTE RD MESA, AZ 85209 (480) 380-2525	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1801929013	CHRISTOPHER C HARRIS DMD PLLC (Organization)	5432 E SOUTHERN AVE STE 108 MESA, AZ 85206 (480) 807-8100		Non-Participating Provider	NO
1801947460	MAINSTREAM DENTAL (Organization)	67 N DOBSON RD STE 104 MESA, AZ 85201 (480) 833-3677		Non-Participating Provider	NO
1801962949	ROBISON DENTAL GROUP PC (Organization)	2855 E BROWN RD SUITE 23 MESA, AZ 85213 (480) 924-2300	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1811066541	MARI CYNTHIA FUKAMI (Individual)	625 W SOUTHERN AVE STE E-145 MESA, AZ 85210 (480) 516-8428	Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1811106594	PAUL ROBERT SANDSTROM (Individual)	7448 E MAIN ST MESA, AZ 85207 (480) 396-8684	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811227002	SUEKKO MANAGEMENT COUNTRY CLUB SMILES (Organization)	500 W SOUTHERN AVE SUITE 100 MESA, AZ 85210 (480) 962-0900		Non-Participating Provider	NO
1811259971	STEVEN ADAM NELSON (Individual)	1102 S GREENFIELD RD MESA, AZ 85206 (480) 969-0077	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811288384	SATISH S. KUMAR (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8158	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 Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Maybe Accepts Medicare	YES
1811419930	KASEY HENDRICKS (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (208) 206-8628	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811424252	AFFORDABLE DENTURES - MESA, P.C. (Organization)	1859 S STAPLEY DR STE 104 MESA, AZ 85204 (480) 632-2006		Non-Participating Provider	NO
1811427750	JASKEERAT KAUR (Individual)	1113 S SIGNAL BUTTE RD MESA, AZ 85208 (480) 868-2407	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1811768674	JULIA ELLEN POIRIER (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 248-8195		Non-Participating Provider	NO
1821216896	INTEGRA MANAGEMENT (Organization)	525 W SOUTHERN AVE 128 MESA, AZ 85210 (480) 964-8982		Non-Participating Provider	NO
1821242082	MORLEY J. SMITH, DMD, PC EAST VALLEY PERIODONTICS (Organization)	6755 E SUPERSTITION SPRINGS BLVD SUITE 102 MESA, AZ 85206 (480) 218-7590		Non-Participating Provider	NO
1821455437	SMILE DENTAL CARE (Organization)	10238 E HAMPTON AVE STE 105 MESA, AZ 85209 (480) 986-2600	DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1821481250	HAROON ASHRAF (Individual)	1113 S SIGNAL BUTTE RD STE 101 MESA, AZ 85208 (480) 582-1199	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821545500	CASEY D CUTLER (Individual)	3048 E BASELINE RD STE 128 MESA, AZ 85204 (480) 820-6080	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821586355	JESSICA GLAUSER ST MARTIN (Individual)	5835 E STILL CIR MESA, AZ 85206 (480) 265-8005	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821613134	RUSSELL D YORK (Individual)	1928 E MAIN ST MESA, AZ 85203 (480) 729-6090	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831298579	A RUBEN TURLEY (Individual)	6549 EAST UNIVERSITY DRIVE MESA, AZ 85205 (480) 981-0590	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 Humana Paramount Paramount Dental	Non-Participating Provider	NO
1831303114	KYLE B HILGERS (Individual)	1812 W BASELINE RD MESA, AZ 85202 (480) 491-9588	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831310663	STANLEY LIU (Individual)	1440 S. COUNTRY CLUB DR. SUITE 23 MESA, AZ 85210 (480) 461-3400	Blue Cross and Blue 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
1831310978	CRAIG A. MYRMEL (Individual)	2855 E BROWN RD SUITE 15 MESA, AZ 85213 (480) 807-2636	Renaissance Dental	Non-Participating Provider	YES
1831393834	TYLER N. DAVIS DMD, PC POWER ROAD DENTAL CARE (Organization)	2500 S POWER RD STE 102 MESA, AZ 85209 (480) 664-1438		Non-Participating Provider	NO
1831460518	MARQUITA DURAN CASTILLO (Individual)	1240 W SOUTHERN AVE MESA, AZ 85202 (480) 733-5437	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1841226230	LORIN ERIC JACKREL (Individual)	2150 S DOBSON RD SUITE 2 MESA, AZ 85202 (480) 897-2888	Cigna Healthcare Delta Dental of Arizona Guardian	Non-Participating Provider	YES
1841311974	PERFECT TEETH - GUADALUPE P.C. PERFECT TEETH - GUADALUPE P.C. (Organization)	8257 E. GUADALUPE RD. SUITE 121 MESA, AZ 85212 (480) 357-3838		Non-Participating Provider	NO
1841376381	BRENT DEMAR CURTIS (Individual)	2050 S ALMA SCHOOL RD MESA, AZ 85210 (480) 820-1237	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1841454683	BLAKE G SHREEVE (Individual)	2500 S POWER RD STE 131 MESA, AZ 85209 (480) 924-5577	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1841491255	TREVEN B ROLLINS (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 0201 MESA, AZ 85206 (480) 924-2880	BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana	Non-Participating Provider	NO
1841506326	DENVER J PALMER (Individual)	6852 E BROWN RD MESA, AZ 85207 (480) 981-1755	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental PPO Florida Combined Life Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1841954336	CHRISTOPHER ZAGAMI (Individual)	1003 N DOBSON RD STE 101 MESA, AZ 85201 (480) 267-9920	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1851362347	LYNNE MARIE WHITCOMB (Individual)	5835 E STILL CIR MESA, AZ 85206 (480) 248-8100		Non-Participating Provider	NO
1851422950	BRIAN MASON (Individual)	2835 E BROWN RD STE 102 MESA, AZ 85213 (480) 832-3830	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1851501753	DALLAS M. WOOLF (Individual)	342 N VAL VISTA DR #104 MESA, AZ 85213 (480) 734-2080	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1851576136	CHAD FREDRICK MERRILL (Individual)	1537 N 25TH ST MESA, AZ 85213 (480) 833-4764	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1851644504	EMBRACEABLE AZ LLC COMFORT BRACES WEST MESA (Organization)	1130 S COUNTRY CLUB DR SUITE 101 MESA, AZ 85210 (480) 461-9866		Non-Participating Provider	NO
1851820161	KYLE PAYNE CARTER (Individual)	2904 E DOLPHIN AVE MESA, AZ 85204 (480) 229-9020	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1851857064	ON BROADWAY DENTISTRY (Organization)	4435 E BROADWAY RD # 9 MESA, AZ 85206 (480) 223-0255	BannerAetna	Non-Participating Provider	NO
1861186777	HEATHER LYNN CURCIO (Individual)	829 E UNIVERSITY DR MESA, AZ 85203 (480) 508-9265	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861544256	SUPERSTITION SPRINGS ENDODONTICS, LLP (Organization)	6755 E SUPERSTITION SPRINGS BLVD STE 101 MESA, AZ 85206 (480) 807-8022	BannerAetna Humana	Non-Participating Provider	NO
1861551210	MICHAEL S. CROCKETT, DDS, PC (Organization)	31 S 63RD ST SUITE 5 MESA, AZ 85206 (480) 981-0203		Non-Participating Provider	NO
1861579906	DENTAL ONE, INC. (Organization)	6671 E BASELINE RD SUITE 123 MESA, AZ 85206 (480) 830-6300		Non-Participating Provider	NO
1861632614	CAMELBACK FAMILY DENTISTRY, LLC CAMELBACK COSMETIC & FAMILY DENTISTRY (Organization)	67 NORTH DOBSON ROAD SUITE A104 MESA, AZ 85201 (480) 668-1190		Non-Participating Provider	NO
1861655953	QUINTON WAYNE GARDNER (Individual)	944 N GILBERT RD STE 104 MESA, AZ 85203 (480) 649-7200	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861665499	EDWARD H. CARLSON (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 101 MESA, AZ 85206 (480) 807-8022		Non-Participating Provider	YES
1861751661	NATE PORTER DDS PLC BROWN ROAD DENTAL (Organization)	855 E BROWN RD STE 4 MESA, AZ 85203 (480) 834-6100		Non-Participating Provider	NO
1861915407	RYAN CHRISTOPHER LACY (Individual)	2025 N POWER RD STE 101 MESA, AZ 85215 (480) 964-1560	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1861921405	CAMERON KASTL (Individual)	820 E UNIVERSITY DR MESA, AZ 85213 (480) 361-4923	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1871234336	MY TIME DENTAL CENTERS (Organization)	1941 W GUADALUPE RD STE 120 MESA, AZ 85202 (480) 909-4255		Non-Participating Provider	NO
1871690412	TUYET THI NGO (Individual)	1150 N COUNTRY CLUB DR SUITE # 7 MESA, AZ 85201 (480) 833-2005	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1871711259	RAKESH DHIRU PEMA (Individual)	1909 N POWER RD SUITE 103 MESA, AZ 85205 (480) 832-9199	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1871793828	KELVIN NGO (Individual)	1161 E MAIN ST MESA, AZ 85203 (480) 962-0662	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1871954669	MESA PAVILIONS DENTAL LLC SUPERSTITION SPRINGS DENTAL (Organization)	1545 S POWER RD 112 MESA, AZ 85206 (480) 355-4131		Non-Participating Provider	NO
1871976456	DYLAN THOMAS (Individual)	4824 E BASELINE RD #140 MESA, AZ 85206 (480) 969-4040	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1881007821	DALLIN REED SNOW (Individual)	4420 E BASELINE RD MESA, AZ 85206 (480) 982-7289	Delta Dental of Arizona Guardian	Non-Participating Provider	YES
1881158301	EMILY POULOS (Individual)	1113 S SIGNAL BUTTE RD MESA, AZ 85208 (480) 582-1199	Aetna CVS Health Ambetter from Absolute Total Care Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections 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 Delta Dental PPO Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1881185791	COMFORT CARE ANESTHESIA, LLC (Organization)	3707 E SOUTHERN AVE MESA, AZ 85206 (602) 549-7456	DentaQuest Insurance Company Inc.	Non-Participating Provider	NO
1881266021	AZ SPECIALTY DENTAL SERVICES LLC (Organization)	2835 E BROWN RD STE 102 MESA, AZ 85213 (615) 678-0759	Ambetter from Arizona Complete Health BannerAetna UnitedHealthcare	Non-Participating Provider	NO
1881618783	ANGELA PELLETIER (Individual)	1145 N ELLSWORTH RD SUITE 102 MESA, AZ 85207 (480) 830-7801	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881764512	WAI K CHEUNG (Individual)	9061 E BASELINE RD STE B103 MESA, AZ 85209 (480) 380-3737	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881990844	DAN MOSHE GAFNI (Individual)	500 W SOUTHERN AVE #1 MESA, AZ 85210 (480) 664-1449	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1891043857	CKHH DENTAL PLLC SUNSHINE DENTAL CARE (Organization)	6328 E BROWN RD SUITE 101 MESA, AZ 85205 (480) 325-5700	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1891109682	EMILY HALL (Individual)	1425 S GREENFIELD RD BLDG 2, STE 110 MESA, AZ 85206 (480) 854-3434	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1891588679	WEI XIE (Individual)	4401 E MCKELLIPS RD STE 102 MESA, AZ 85215 (480) 550-8204		Non-Participating Provider	NO
1891706735	GAIL G GOODMAN (Individual)	1545 E UNIVERSITY DR MESA, AZ 85203 (480) 834-9001	Blue Cross and Blue 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
1891727400	J. LADD WILLIAMS (Individual)	1244 N GREENFIELD RD SUITE 103 MESA, AZ 85205 (480) 964-9020	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891772505	ROBERT BRINKS AUSTIN (Individual)	6755 E SUPERSTITION SPRINGS BLVD SUITE 103 MESA, AZ 85206 (480) 830-5866	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1891775003	THEODORE NMI ZISLIS (Individual)	2319 E INCA ST MESA, AZ 85213 (480) 219-2830	Blue Cross and Blue 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
1891795282	PAUL WADLEY HAYCOCK (Individual)	6755 E SUPERSTITION SPRINGS BLVD SUITE 102 MESA, AZ 85206 (480) 218-7590	Blue Cross and Blue 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
1891830055	HOWARD G. HANSEN D.D.S. P.C. (Organization)	107 N GREENFIELD RD SUITE 1 MESA, AZ 85205 (480) 832-1215		Non-Participating Provider	NO
1891849410	RODNEY JAMES PALMER (Individual)	1925 S SOSSAMAN RD STE 212 MESA, AZ 85209 (480) 984-0884	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891888772	ANGELA SHANTHINI RATNAM (Individual)	1245 E SOUTHERN AVE STE 12 MESA, AZ 85204 (480) 610-6544	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1891892832	ALOK AHLAWAT (Individual)	4135 S POWER RD STE 101 MESA, AZ 85212 (480) 525-6000	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana MedMutual Renaissance Dental	Non-Participating Provider	NO
1902334378	WHITNEY LEE DOWNS (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Imperial Insurance Companies Inc. Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1902539612	VINCENT CHUNWEN CHEN (Individual)	3440 E BASELINE RD STE 106 MESA, AZ 85204 (480) 926-2350	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1902897580	LEO J WIRTH DDS PC DUANE L WIRTH DDS (Organization)	1150 N COUNTRY CLUB DR STE 11 MESA, AZ 85201 (480) 964-3124		Non-Participating Provider	NO
1902916786	THOMAS CLAYTON TURNER (Individual)	3740 E SOUTHERN AVE STE 124 MESA, AZ 85206 (480) 633-7807	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1902942923	SHAUN PATRICK GARDNER (Individual)	2045 S VINEYARD STE 150 MESA, AZ 85210 (480) 345-7668	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1902965833	DUANE LEE WIRTH (Individual)	1150 NORTH COUNTRY CR DR MESA, AZ 85201 (480) 964-3124	Delta Dental of Arizona	Non-Participating Provider	NO
1912075979	NATHAN WADSWORTH SMITH (Individual)	2058 S DOBSON RD STE 12 MESA, AZ 85202 (480) 838-3033	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1912230715	WILLIAM C FULCHER (Individual)	1959 S VAL VISTA DR STE 118 MESA, AZ 85204 (480) 248-8008	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1912649807	MESA GRAND KIDS DENTISTRY AND ORTHODONTICS AZ LLP (Organization)	1240 E BASELINE RD STE 100 MESA, AZ 85204 (480) 576-7378	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1912900705	MACARIO MELVIN GENTILE (Individual)	2135 E UNIVERSITY DR STE 115 MESA, AZ 85213 (480) 969-6762		Non-Participating Provider	NO
1922210632	RYAN S. WALLIN, DDS, PC (Organization)	6626 E BASELINE RD SUITE 101 MESA, AZ 85206 (480) 218-8800	Humana	Non-Participating Provider	NO
1922299510	JOHN ROBERT JOHNSTON (Individual)	1425 S GREENFIELD RD STE 110 MESA, AZ 85206 (480) 900-5545	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 Guardian Renaissance Dental	Non-Participating Provider	NO
1922439967	DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA SOSSAMAN FAMILY DENTAL (Organization)	2919 E. ELLSWORTH RD. STE 118 MESA, AZ 85212 (480) 986-5860	BannerAetna	Non-Participating Provider	NO
1922546613	ANDREW E FORMAN (Individual)	5850 E STILL CIR MESA, AZ 85206 (480) 248-8115	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1922746858	JACOB MOORHEAD (Individual)	1130 S COUNTRY CLUB DR STE 101 MESA, AZ 85210 (480) 461-9866	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1932132651	ARIZONA MAXILLOFACIAL SURGEONS, PC (Organization)	6755 E SUPERSTITION SPRINGS BLVD SUITE 103 MESA, AZ 85206 (480) 830-5866	BannerAetna	Non-Participating Provider	NO
1932281037	LAWRENCE SCOTT ADAMS (Individual)	3549 E BROWN RD STE #104 MESA, AZ 85213 (480) 830-2956	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1932301454	MICHAEL L. JOHNSON DDS P.C. (Organization)	6812 E BROWN RD STE 102 MESA, AZ 85207 (480) 981-8560		Non-Participating Provider	NO
1932319373	BRENT HARRIS MASON (Individual)	855 E BROWN RD STE 1 MESA, AZ 85203 (480) 969-2991	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1932497385	KELSEY MILES KRAUSE (Individual)	1855 S COUNTRY CLUB DR SUITE 101 MESA, AZ 85210 (480) 612-6095	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1932580057	RYAN PATRICK SMITH (Individual)	2025 N POWER RD STE 101 MESA, AZ 85215 (480) 964-1560	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1932669207	DANIEL NATTEL (Individual)	5440 E SOUTHERN AVE STE 107 MESA, AZ 85206 (480) 830-3344	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932761947	TYLER JOHN BINGHAM (Individual)	2537 N MAPLE MESA, AZ 85215 (903) 597-3940	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932815370	EMIL SAROIAN (Individual)	5855 E STILL CIR MESA, AZ 85206 (480) 219-6000		Non-Participating Provider	NO
1942315064	STEPHEN G HOWARD (Individual)	6328 E BROWN RD STE 105 MESA, AZ 85205 (480) 325-7639	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona DentaQuest Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1942552104	ARIZONA MINI DENTAL IMPLANT CENTERS MESA, LLC (Organization)	633 N GILBERT RD MESA, AZ 85203 (480) 898-3053		Non-Participating Provider	NO
1942633607	JANA LEMAU KUBICEK (Individual)	2025 N POWER RD STE 101 MESA, AZ 85215 (480) 964-1560	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1942841663	MESA KIDTASTIC DENTAL LLC (Organization)	1240 W SOUTHERN AVE STE 112 MESA, AZ 85202 (403) 733-5437	Ambetter from Arizona Complete Health BannerAetna DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1952035412	ISAAC ANDREW ARAKAKI (Individual)	11256 E CONTESSA ST MESA, AZ 85207 (360) 932-6957	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Humana Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1952352577	UNIVERSITY DENTAL (Organization)	1010 E UNIVERSITY DR MESA, AZ 85203 (480) 644-7777		Non-Participating Provider	NO
1952461998	EASTRIDGE FAMILY DENTISTRY, INC. (Organization)	9937 E BASELINE RD STE. 104 MESA, AZ 85209 (480) 615-8585	Ambetter from Arizona Complete Health UnitedHealthcare	Non-Participating Provider	NO
1952464778	WHEE S CHO (Individual)	1130 W GROVE AVE STE 115 MESA, AZ 85210 (480) 964-2724	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1952479230	STEVEN RYAN YOUNG (Individual)	1702 S VAL VISTA DR STE 101 MESA, AZ 85204 (480) 668-8200	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1952555369	CULLIMORE FAMILY DENTISTRY, PLLC (Organization)	2038 N RECKER RD MESA, AZ 85215 (480) 985-2978		Non-Participating Provider	NO
1952585507	ALAN MARK PETERSEN (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 201 MESA, AZ 85206 (480) 924-2880	BannerAetna Blue Cross and Blue Shield of 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 Arizona Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1952677254	SOSSAMAN FAMILY DENTAL PC (Organization)	4704 E SOUTHERN AVE SUITE # 118 MESA, AZ 85206 (480) 648-4037		Non-Participating Provider	NO
1952684326	SHREEVE DENTAL LLC SUPERSTITION LAKES DENTAL (Organization)	2500 S POWER RD STE 131 MESA, AZ 85209 (480) 924-5577		Non-Participating Provider	NO
1952893646	KATHARINE TATE GIFFORD (Individual)	1959 S VAL VISTA DR STE 118 MESA, AZ 85204 (480) 750-0017	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1962186734	ALEXANDER HOMER (Individual)	4338 E FLORIAN AVE STE 104 MESA, AZ 85206 (480) 396-6100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1962552869	JIM HASTEN (Individual)	6963 E MAIN ST MESA, AZ 85207 (480) 981-3047	Blue Cross and Blue 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
1962603746	MARK S. ANTHONY (Individual)	1259 N POWER RD STE 2 MESA, AZ 85205 (480) 832-4567	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1962605493	ABRAHAM MILLER (Individual)	1130 S COUNTRY CLUB DR STE 101 MESA, AZ 85210 (480) 461-9866	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1962612861	MAC M. WOOLF (Individual)	855 E BROWN RD SUITE 4 MESA, AZ 85203 (480) 834-6100	BannerAetna Blue Cross and Blue 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
1962615088	FREDERICK CHARLES TURLEY (Individual)	1102 S GREENFIELD RD MESA, AZ 85206 (480) 969-0077	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1962785097	BRADLEY L FARR (Individual)	625 W SOUTHERN AVE STE E-145 MESA, AZ 85210 (480) 332-0577	Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1972560571	DR KATERINA GONCHAROVA DDS PLC (Organization)	2853 S SOSSAMAN RD A110 MESA, AZ 85212 (480) 986-5860	Ambetter from Arizona Complete Health	Non-Participating Provider	NO
1972595650	CURTIS J CLIFFORD (Individual)	6852 E BROWN RD MESA, AZ 85207 (480) 981-1755	Blue Cross and Blue 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
1972678704	DONALD TUNE HOM (Individual)	625 W SOUTHERN AVE SUITE E-145 MESA, AZ 85210 (480) 922-2669	Blue Cross Blue Shield of Arizona	Non-Participating Provider	NO
1972682946	WILLIAM H HELFERT (Individual)	2040 E BROWN RD MESA, AZ 85213 (480) 834-6161	Blue Cross and Blue 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
1972692721	STAPLEY DENTAL GROUP, PROFESSIONAL CORPORATION ARBOR SMILES (Organization)	1920 S STAPLEY DR STE. 105 MESA, AZ 85204 (480) 545-5300		Non-Participating Provider	NO
1972787471	RED MOUNTAIN ENDODONTICS (Organization)	1056 S VAL VISTA DR SUITE #3 MESA, AZ 85204 (480) 396-6100		Non-Participating Provider	NO
1972823029	GREGORY ROMNEY (Individual)	6755 E SUPERSTITION SPRINGS BLVD STE 103 MESA, AZ 85206 (480) 830-5866	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1972864528	AARON LEGRAND ROBERTS (Individual)	625 W SOUTHERN AVE STE E-145 MESA, AZ 85210 (602) 513-2242	Delta Dental of Arizona	Non-Participating Provider	NO
1982059457	EAST VALLEY DENTAL PROFESSIONALS (Organization)	2058 S DOBSON RD SUITE 12 MESA, AZ 85202 (480) 838-3033	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1982134672	MESA DENTAL ARIZONA LLC SUPERSTITION SPRINGS DENTAL (Organization)	1545 S POWER RD STE 112 MESA, AZ 85206 (480) 924-6024		Non-Participating Provider	NO
1982217303	KYLE FRANKLIN (Individual)	1240 W SOUTHERN AVE STE 112 MESA, AZ 85202 (480) 733-5437	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Paramount Paramount Dental	Non-Participating Provider	NO
1982781027	DENTAL ONE, INC. DESERT FAMILY DENTAL (Organization)	1911 W MAIN ST SUITE 6 MESA, AZ 85201 (480) 838-4185		Non-Participating Provider	NO
1982884607	EAST VALLEY SMILES DENTAL GROUP, PROFESSIONAL CORPORATION EAST VALLEY SMILES (Organization)	5340 S. POWER RD SUITE 104 MESA, AZ 85212 (480) 279-1036		Non-Participating Provider	NO
1982959375	JEREMIAH W STURGILL (Individual)	5855 E STILL CIR MESA, AZ 85206 (276) 275-3296		Non-Participating Provider	NO
1992146211	DANA LAUREN DECKER (Individual)	4996 S POWER ROAD MESA, AZ 85212 (480) 840-3600	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental	Non-Participating Provider	NO
1992214985	ARIZONA DENTAL PROFESSIONALS, P.C. MOUNTAIN CREST DENTAL (Organization)	2658 S SIGNAL BUTTE RD MESA, AZ 85209 (480) 867-3903	Ambetter from Arizona Complete Health BannerAetna	Non-Participating Provider	NO
1992328058	MICHELLE LY (Individual)	67 N DOBSON RD STE 104 MESA, AZ 85201 (480) 900-7838	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona EMI Health Florida Combined Life Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1992428791	ARIZONA DENTAL AFFILIATES, PLLC (Organization)	1157 S CRISMON RD STE 103 MESA, AZ 85208 (520) 376-8538		Non-Participating Provider	NO
1992714745	SCOTT H WEXLER (Individual)	6239 E BROWN RD SUITE 102 MESA, AZ 85205 (480) 396-3660	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1992759393	POOJA SURESH (Individual)	1830 S ALMA SCHOOL RD STE 136 MESA, AZ 85210 (480) 491-0404	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992855597	MARCO CERVANTES (Individual)	1705 W MAIN ST MESA, AZ 85201 (877) 809-5092	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Imperial Insurance Companies Inc. Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992985295	MAUREEN PERRY (Individual)	5835 E STILL CIR MESA, AZ 85206 (480) 248-8120	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Imperial Insurance Companies Inc. Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Accepts Medicare	YES

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