Dentist Providers In Plymouth, Massachusetts

Search Dentist NPI records in Plymouth, MA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Plymouth, MA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 80, of which 31 are registered as organizations and 49 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.

61% Individuals

39% Organizations

19% Female

43% Male

61% Individual Providers (49)39% Medical Organizations (31)19% Female Providers (15)43% Male Providers (34)

Map of Providers

We have mapped the Dentist providers in Plymouth, MA 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 Plymouth, MA
NPI	Name	Address	Insurance	Medicare	PECOS
1003141086	MELANIE M. RABENI DDS, PC (Organization)	45 RESNIK RD SUITE 102 PLYMOUTH, MA 02360 (508) 746-4856		Non-Participating Provider	NO
1023022530	ROBERT D MORLAN (Individual)	225 WATER ST PLYMOUTH, MA 02360 (508) 747-0003	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1023094513	KARL MARTIN DAVID WIKLUND (Individual)	32 RESNIK RD SUITE 1 PLYMOUTH, MA 02360 (508) 746-8400	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1033693809	JAMES E CALLAHAN DDS PC (Organization)	170 WATER ST PLYMOUTH, MA 02360 (508) 747-3977		Non-Participating Provider	NO
1043720675	TAYLOR DENTAL ASSOCIATES PC (Organization)	106 COLONY PLACE RD PLYMOUTH, MA 02360 (508) 830-0411	UnitedHealthcare	Non-Participating Provider	NO
1053339101	STEPHEN KERR (Individual)	233 WATER ST PLYMOUTH, MA 02360 (508) 747-5400	Blue Cross and Blue 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
1053397653	RICHARD H KARR (Individual)	5 ALDRIN RD PLYMOUTH, MA 02360 (508) 746-9503	Anthem Blue Cross and Blue Sheld 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
1053502211	ROSS S AJEMIAN DDS (Organization)	110 LONG POND ROAD SUITE 120 PLYMOUTH, MA 02360 (508) 830-0330	UnitedHealthcare	Non-Participating Provider	NO
1063164440	BEACON DENTAL HEALTH MA II PLLC (Organization)	1 SCOBEE CIR STE 2A PLYMOUTH, MA 02360 (508) 594-3100		Non-Participating Provider	NO
1063437218	KARIM RIZKALLA (Individual)	24 NORTH ST PLYMOUTH, MA 02360 (508) 746-1840	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1083385538	CHRISTOPHER LOUIS CESARIO (Individual)	1 SCOBEE CIR # 2A PLYMOUTH, MA 02360 (401) 323-5623	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1083639223	BAHAA RIZKALLA (Individual)	24 NORTH ST PLYMOUTH, MA 02360 (508) 746-1840	Blue Cross and Blue 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
1083731293	HARVEY KATZ (Individual)	306 COURT ST PLYMOUTH, MA 02360 (508) 746-1144		Non-Participating Provider	NO
1093823023	MELANIE M. RABENI (Individual)	45 RESNIK RD SUITE 102 PLYMOUTH, MA 02360 (508) 746-4856	Anthem Blue Cross and Blue Sheld 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
1104355296	EMILY ELIZABETH KARR (Individual)	5 ALDRIN RD PLYMOUTH, MA 02360 (508) 746-9503	Anthem Blue Cross and Blue Sheld 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
1114957586	CHRISTOPHER JON FREYERMUTH (Individual)	92 SANDWICH ST PLYMOUTH, MA 02360 (508) 746-7755		Non-Participating Provider	NO
1144347295	DONALD A BURGOYNE (Individual)	135 SANDWICH ST PLYMOUTH, MA 02360 (508) 746-4707		Non-Participating Provider	YES
1144484577	ROBERT D. MORLAN, D.M.D. ROBERT D. MORLAN,D.M.D. P.C. (Organization)	225 WATER ST SUITE B100 PLYMOUTH, MA 02360 (508) 747-0003		Non-Participating Provider	NO
1154536902	KARL-MARTIN WIKLUND DMD, PC (Organization)	32 RESNIK RD SUITE 1 PLYMOUTH, MA 02360 (508) 746-8400		Non-Participating Provider	NO
1164700266	JIANGYUN SHENG (Individual)	159 SAMOSET ST SUITE 5 PLYMOUTH, MA 02360 (508) 746-4456	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1205094240	CHARLES RANDALL BLACK (Individual)	26 LONG POND ROAD PLYMOUTH COUNTY CORRECTIONAL FACILITY PLYMOUTH, MA 02360 (508) 830-6200		Non-Participating Provider	NO
1205220134	SAMOSET FAMILY DENTAL, P.C. (Organization)	159 SAMOSET ST STE 5 PLYMOUTH, MA 02360 (508) 746-4456		Non-Participating Provider	NO
1215016043	CAPE COD ENDODONTICS PC (Organization)	110 LONG POND ROAD SUITE 124 PLYMOUTH, MA 02360 (508) 747-4441		Non-Participating Provider	NO
1215506977	MONICA FRONCZAK (Individual)	159 SAMOSET ST STE 5 PLYMOUTH, MA 02360 (508) 746-4456	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life UnitedHealthcare	Non-Participating Provider	NO
1225209356	OLEX DENTAL, P.C. (Organization)	306 COURT ST PLYMOUTH, MA 02360 (508) 746-1144	UnitedHealthcare	Non-Participating Provider	NO
1235204116	DANIEL SHANE O'BRIEN (Individual)	74 SUMMER ST PLYMOUTH, MA 02360 (508) 746-7050		Non-Participating Provider	YES
1285328971	SCHMID PEDIATRIC DENTISTRY PLLC (Organization)	8 SPRING LN PLYMOUTH, MA 02360 (508) 591-5951		Non-Participating Provider	NO
1285835884	PETER TAN PHAN (Individual)	8 SPRING LN PLYMOUTH, MA 02360 (508) 591-5951	Anthem Blue Cross and Blue Sheld 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
1285912469	PAUL F MIRAGLIA (Individual)	135 SANDWICH ST PLYMOUTH, MA 02360 (508) 747-2117	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1306962568	STUART BERNSTEIN (Individual)	116 COURT ST PLYMOUTH, MA 02360 (508) 746-4033	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1336577469	ESTHER P. LIM, DMD, PC (Organization)	141 COURT ST PLYMOUTH, MA 02360 (508) 746-6226		Non-Participating Provider	NO
1407954761	LANE ORAL & MAXILLOFACIAL SURGERY PC (Organization)	30 RESNIK RD PLYMOUTH, MA 02360 (508) 746-8700	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1437278314	RIZKALLA DENTAL ASSOCIATES (Organization)	24 NORTH ST PLYMOUTH, MA 02360 (508) 746-1840	UnitedHealthcare	Non-Participating Provider	NO
1437318565	MARCO DONADIO (Individual)	110 LONG POND RD PLYMOUTH, MA 02360 (508) 747-4441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1447486196	MARIA KRITSINELI (Individual)	45 RESNIK RD SUITE 306 PLYMOUTH, MA 02360 (508) 830-1212	Anthem Blue Cross and Blue Sheld 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
1447737812	MARIAN MIKHAEL (Individual)	26 LONG POND RD PLYMOUTH, MA 02360 (508) 830-6200		Non-Participating Provider	NO
1457047672	SUNNY SMILE IX INC (Organization)	106 COLONY PLACE RD PLYMOUTH, MA 02360 (508) 830-0411		Non-Participating Provider	NO
1457889651	MIRAY WESSA (Individual)	24 NORTH ST PLYMOUTH, MA 02360 (508) 746-1840	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1477632206	MICHAEL FRANCIS BUCKLEY (Individual)	110 LONG POND ROAD SUITE 124 PLYMOUTH, MA 02360 (508) 747-4441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1487790135	MARGUERITE MARIE PUGLISI (Individual)	159 SAMOSET STREET PLYMOUTH, MA 02360 (508) 746-4856		Non-Participating Provider	NO
1487790507	HERBERT IRVING BADER (Individual)	110 LONG POND RD STE 204 PLYMOUTH, MA 02360 (508) 830-3339		Non-Participating Provider	YES
1487828091	MICHAEL C. PINCELLI, DMD,PC (Organization)	72 SUMMER ST PLYMOUTH, MA 02360 (508) 746-6686		Non-Participating Provider	NO
1528326428	WILLIAM MCNEELY LANE (Individual)	30 RESNIK RD PLYMOUTH, MA 02360 (508) 746-8700	Anthem Blue Cross and Blue Sheld 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
1538126586	MARK PHAM (Individual)	57 OBERY ST SUITE 2 PLYMOUTH, MA 02360 (508) 927-4676	Anthem Blue Cross and Blue Sheld 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
1538427745	MARK PHAM, DMD, PC OBERY DENTAL (Organization)	57 OBERY ST SUITE 2 PLYMOUTH, MA 02360 (617) 820-6447		Non-Participating Provider	NO
1558426577	JOHN WM BLANGIARDO (Individual)	146 COURT ST PLYMOUTH, MA 02360 (508) 746-0740		Non-Participating Provider	NO
1568039204	MARYANNA KERR (Individual)	3 MARKET XING PLYMOUTH, MA 02360 (508) 747-5400	Anthem Blue Cross and Blue Sheld 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
1568770667	ESTHER P LIM (Individual)	141 COURT STREET PLYMOUTH, MA 02360 (508) 746-6226	Anthem Blue Cross and Blue Sheld 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
1578915906	RYAN HAIG (Individual)	30 RESNIK RD PLYMOUTH, MA 02360 (508) 746-8700	Aetna CVS Health Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Kansas Inc. Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598496168	MOLLY ANN BURNETT (Individual)	125 SAMOSET ST PLYMOUTH, MA 02360 (508) 746-5800	Anthem Blue Cross and Blue Sheld 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1619985512	PETER TOMPKINS CRESSMAN (Individual)	8 1/2 SPRING LANE PLYMOUTH, MA 02360 (508) 746-1128	Anthem Blue Cross and Blue Sheld Blue Cross and Blue 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
1639258429	PAUL F MIRAGLIA DDS PC (Organization)	135 SANDWICH ST PLYMOUTH, MA 02360 (508) 747-2117		Non-Participating Provider	NO
1639804115	NICHOLAS BIAGINI (Individual)	10 LINCOLN ST PLYMOUTH, MA 02360 (508) 684-5468	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1669364139	OURANIA VITSAS, DMD, PLLC (Organization)	51 LONG POND RD PLYMOUTH, MA 02360 (508) 815-1695		Non-Participating Provider	NO
1669586749	STEVEN V AVENI DDS PC (Organization)	10 LINCOLN ST PLYMOUTH, MA 02360 (508) 746-1918		Non-Participating Provider	NO
1679583116	SANDRA L. MACDONALD (Individual)	110 LONG POND ROAD #204 PLYMOUTH, MA 02360 (508) 830-3339	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Opted out of Medicare	NO
1689678948	ROBERT A. RITUCCI (Individual)	110 LONG POND RD STE 122 PLYMOUTH, MA 02360 (508) 747-4667		Non-Participating Provider	NO
1689911257	MATTHEW T. BOYNTON (Individual)	70 COURT STREET PLYMOUTH, MA 02360 (508) 746-1666	Anthem Blue Cross and Blue Sheld 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
1700150588	ROBERT A. RITUCCI, D.M.D., P.C. (Organization)	110 LONG POND RD SUITE #122 PLYMOUTH, MA 02360 (508) 747-4667		Non-Participating Provider	NO
1710475546	PLYMOUTH ORTHODONTICS (Organization)	51 LONG POND RD PLYMOUTH, MA 02360 (508) 815-1695		Non-Participating Provider	NO
1710945845	ANTHONY THOMAS BORGIA (Individual)	110 LONG POND RD SUITE 124 PLYMOUTH, MA 02360 (508) 747-4441		Non-Participating Provider	NO
1720114911	LISA ANN CUSSON (Individual)	72 SUMMER ST PLYMOUTH, MA 02360 (508) 746-6686	Anthem Blue Cross and Blue Sheld 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
1730336645	PLYMOUTH DENTAL CARE, LLC (Organization)	72 SUMMER ST PLYMOUTH, MA 02360 (508) 746-6686		Non-Participating Provider	NO
1740360965	THOMAS FRANCIS ROGERS (Individual)	141 COURT STREET PLYMOUTH, MA 02360 (508) 746-6226	Anthem Blue Cross and Blue Sheld Blue Cross and Blue 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
1780972141	DR DENTAL OF PLYMOUTH (Organization)	125 SAMOSET ST PLYMOUTH, MA 02360 (617) 448-8371		Non-Participating Provider	NO
1790953172	STEVEN V. AVENI (Individual)	10 LINCOLN ST PLYMOUTH, MA 02360 (508) 746-1918	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1801388038	STEPHEN PAUL COLETTI (Individual)	3 MARKET XING PLYMOUTH, MA 02360 (508) 747-8369	Anthem Blue Cross and Blue Sheld 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
1801820147	STEPHEN J. KERR, DMD, PC (Organization)	233 WATER ST PLYMOUTH, MA 02360 (508) 747-5400		Non-Participating Provider	NO
1821269978	RYAN ORTHODONTICS PC (Organization)	146 COURT ST PLYMOUTH, MA 02360 (508) 746-0740		Non-Participating Provider	NO
1831548072	WILLIAM OLAFSON (Individual)	3 MARKET XING PLYMOUTH, MA 02360 (508) 747-5400	Anthem Blue Cross and Blue Sheld 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
1851075287	NESORTHODONTICS (Organization)	8 SPRING LN PLYMOUTH, MA 02360 (508) 591-5951		Non-Participating Provider	NO
1851413728	SANDRA L MACDONALD DMD PC (Organization)	110 LONG POND ROAD SUITE 204 PLYMOUTH, MA 02360 (508) 830-3339		Non-Participating Provider	NO
1881345239	BEACON DENTAL HEALTH MA II PLLC (Organization)	3 MARKET XING PLYMOUTH, MA 02360 (508) 747-5400		Non-Participating Provider	NO
1912177064	JAMES EDWARD CALLAHAN (Individual)	170 WATER ST PLYMOUTH, MA 02360 (508) 747-3977	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1922016922	PETER T CRESSMAN DMD PC (Organization)	8 1/2 SPRING LANE PLYMOUTH, MA 02360 (508) 746-1128		Non-Participating Provider	NO
1922086362	ELAINE H. O'BRIEN (Individual)	36 LONG POND RD PLYMOUTH, MA 02360 (508) 746-7900		Non-Participating Provider	YES
1932297488	MATTHEW T BOYNTON DMD PC (Organization)	70 COURT STREET PLYMOUTH, MA 02360 (508) 746-1666		Non-Participating Provider	NO
1942689781	JAMES RAYMOND (Individual)	3 MARKET XING PLYMOUTH, MA 02360 (508) 747-5400		Non-Participating Provider	NO
1962581793	LISA MARIA SANCHEZ (Individual)	110 LONG POND ROAD S 124 PLYMOUTH, MA 02360 (508) 747-4441	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1972642759	ROSS AJEMIAN (Individual)	110 LONG POND ROAD SUITE 120 PLYMOUTH, MA 02360 (508) 830-0330	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO

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