Dentist Providers In Racine, Wisconsin

Search Dentist NPI records in Racine, WI

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Racine, WI. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 108, of which 16 are registered as organizations and 92 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.

85% Individuals

15% Organizations

25% Female

60% Male

85% Individual Providers (92)15% Medical Organizations (16)25% Female Providers (27)60% Male Providers (65)

Map of Providers

We have mapped the Dentist providers in Racine, WI 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 Racine, WI
NPI	Name	Address	Insurance	Medicare	PECOS
1003942319	SOUTHWEST DENTAL GROUP, S.C. (Organization)	2601 TAYLOR AVE RACINE, WI 53403 (262) 632-3156		Non-Participating Provider	NO
1023143435	EARL L NEWTON (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Non-Participating Provider	NO
1023165560	SHOBA WARREN (Individual)	6218 WASHINGTON AVE SUITE C RACINE, WI 53406 (262) 886-1300	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1023211026	LEONARDO HUCK (Individual)	4060 N MAIN ST SUITE 102 RACINE, WI 53402 (262) 639-7298	Blue Cross and Blue 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 Wisconsin Inc. Humana	Non-Participating Provider	NO
1023244159	KIMBERLY A KIND-BAUER (Individual)	4445 TAYLOR AVE RACINE, WI 53405 (262) 554-1600	Delta Dental of Wisconsin Inc. Guardian	Opted out of Medicare	YES
1023565686	BELLE CITY FAMILY DENTISTRY, S.C. (Organization)	1300 S GREEN BAY RD SUITE 206 RACINE, WI 53406 (262) 633-4000		Non-Participating Provider	NO
1053409680	MARK D LENZ (Individual)	1558 S GREENBAY RD RACINE, WI 53406 (262) 634-6900	Humana	Non-Participating Provider	NO
1063548360	RICHARD L. DEFURIO (Individual)	2601 TAYLOR AVE RACINE, WI 53403 (262) 632-3156		Non-Participating Provider	NO
1144243643	KENNETH LIARD GOULD (Individual)	1831 S GREENBAY RD RACINE, WI 53406 (262) 633-0080		Non-Participating Provider	NO
1154580280	MARY PANYK OSHIRO (Individual)	3903 DOUGLAS AVE RACINE, WI 53402 (262) 639-1272	Delta Dental of Wisconsin Inc.	Non-Participating Provider	YES
1174194211	JESSICA ANNA THOMAS (Individual)	5201 WASHINTON AVE STE A RACINE, WI 53406 (262) 634-0441	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. DentaTrust/DentaSpan Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1174631089	GREG L SMART (Individual)	7117 GREEN BAY ROAD RACINE, WI 53404 (262) 942-7000	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Humana	Non-Participating Provider	YES
1184145633	AMIT PATEL (Individual)	3900 N BAY DR RACINE, WI 53402 (847) 704-2361	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 Wisconsin Inc. Dominion National Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1184852998	CHRIS MARK WORTH (Individual)	5201 WASHINGTON AVE SUITE A RACINE, WI 53406 (262) 634-0441	Aetna CVS Health Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Illinois Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1194892166	NICOLET DEROSE (Individual)	316 5TH ST RACINE, WI 53403 (262) 534-8662	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1215051313	RANDALL C MOLES (Individual)	5801 WASHINGTON AVE SUITE 100 RACINE, WI 53406 (262) 884-7700		Non-Participating Provider	NO
1215058532	LAKESHORE FAMILY DENTAL CARE SC EDWARD J OSHIRO DDS MARY J PANYK OSHIRO DDS (Organization)	3903 DOUGLAS AVE RACINE, WI 53402 (262) 639-1272		Non-Participating Provider	NO
1225282643	JAMES ALLEN LEVANDOSKI (Individual)	239 OLD PINE CIR RACINE, WI 53402 (262) 639-3931		Opted out of Medicare	YES
1225297369	EDWARD J OSHIRO (Individual)	3903 DOUGLAS AVE RACINE, WI 53402 (262) 639-1272	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1225571656	DANIEL YEIL KIM (Individual)	5201 WASHINGTON AVE STE A RACINE, WI 53406 (512) 297-6158	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. DentaQuest Insurance Company Inc- IL DentaTrust/DentaSpan Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1235217589	JOHN FORTUNE WINKLER (Individual)	3333 DOUGLAS AVE RACINE, WI 53402 (262) 639-7223	Guardian	Non-Participating Provider	NO
1235264623	JENNIFER A QUIZON (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana Renaissance Dental	Non-Participating Provider	NO
1235526369	ANNA LORENE KIRCHNER (Individual)	4445 TAYLOR AVENUE RACINE, WI 53405 (262) 554-1600	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Renaissance Dental	Opted out of Medicare	YES
1275668667	THOMAS W SCHERRER (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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	Opted out of Medicare	YES
1275699738	LISA GABRIUS FORTUNATO (Individual)	6218 WASHINGTON AVE SUITE C RACINE, WI 53406 (262) 886-1300	Blue Cross and Blue 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
1275873374	F KRIS OLSEN (Individual)	1320 S GREEN BAY ROAD RACINE DENTAL GROUP RACINE, WI 53406 (262) 637-9371	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 Dominion National Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1295148997	SMITA KUMAR (Individual)	4915 WASHINGTON AVE STE B RACINE, WI 53406 (262) 619-1949	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	Non-Participating Provider	YES
1295830289	MYRON G TOPALIAN (Individual)	1680 DOUGLAS AVE RACINE, WI 53404 (262) 633-5600	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1306007703	EDWARD CHENG (Individual)	5802 WASHINGTON AVE STE 202 RACINE, WI 53406 (262) 886-1957	Blue Cross and Blue 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
1306297288	BASIA M KOWALIK (Individual)	1076 BEDFORD CT RACINE, WI 53406 (414) 861-1237		Non-Participating Provider	NO
1316035389	LARRY D NEUMANN (Individual)	2705 DOUGLAS AVE RACINE, WI 53402 (262) 639-4220		Non-Participating Provider	NO
1326173709	SCOTT D MUNRO (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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
1336162767	EILEEN K PANACEK (Individual)	1900 LATHROP AVE RACINE, WI 53405 (262) 632-0719		Opted out of Medicare	YES
1366546996	GREGORY T ISERMANN DDS MS SC (Organization)	3500 MEACHEM ROAD RACINE, WI 53405 (262) 554-7782		Non-Participating Provider	NO
1366572927	WISCONSIN DENTAL GROUP, S.C. FORWARDDENTAL RACINE (Organization)	6218 WASHINGTON AVE STE C RACINE, WI 53406 (262) 886-1300		Non-Participating Provider	NO
1386185106	MARGARET M. ABAOGYE DDS LAKE DENTAL GROUP (Organization)	4340 NEWMAN RD. RACINE, WI 53406 (262) 633-0775		Non-Participating Provider	NO
1386779791	PAUL M ELCANO (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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 Wisconsin Inc. Humana Renaissance Dental	Opted out of Medicare	YES
1396053732	DAVID LOUIS DEFURIO (Individual)	2601 TAYLOR AVE RACINE, WI 53403 (262) 632-3156	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1396096574	HOUSSAM ELCHEKHA (Individual)	4915 WASHINGTON AVE RACINE, WI 53406 (414) 306-6420	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 Chorus Community Health Plans Delta Dental of Wisconsin Inc. DentaTrust/DentaSpan	Non-Participating Provider	NO
1396870770	THOMAS J LINSTROTH (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Non-Participating Provider	NO
1407202666	MICHAEL LENZ (Individual)	1558 S. GREEN BAY RD RACINE, WI 53406 (262) 902-2468	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1417014572	POORNIMA JAYAPRAKASH (Individual)	6218 WASHINGTON AVE SUITE C RACINE, WI 53406 (262) 886-1300	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1417070665	ROBIN D KNODEL (Individual)	4060 N MAIN ST SUITE 102 RACINE, WI 53402 (262) 639-7298	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1437218302	DONALD EDWARD ROMSA (Individual)	5801 WASHINGTON AVENUE SUITE 102 RACINE, WI 53406 (262) 886-0147		Non-Participating Provider	NO
1467665935	TIFFANY JEANNINE SMALKOSKI (Individual)	4425 TAYLOR AVENUE SUITE 3 RACINE, WI 53405 (262) 554-9055	Blue Cross and Blue 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 Wisconsin Inc. Humana	Non-Participating Provider	NO
1477622975	NED J MURPHY (Individual)	5440 SPRING ST RACINE, WI 53406 (262) 886-9440		Opted out of Medicare	YES
1477653939	JOSEPH ROBERT SCHAUB (Individual)	3801 MONARCH DR RACINE, WI 53406 (262) 554-8080	Blue Cross and Blue 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
1487387437	NANA OWUSU (Individual)	400 LAKE AVE RACINE, WI 53403 (262) 633-0775	Florida Combined Life UnitedHealthcare	Non-Participating Provider	YES
1497805964	ROBERT ARNOLD BISSEGGER (Individual)	3801 WASHINGTON AVE RACINE, WI 53405 (262) 633-8231		Non-Participating Provider	NO
1497919757	CHRISTOPHER LEHN (Individual)	2405 NORTHWESTERN AVE RACINE, WI 53404 (262) 886-0474	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 Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1528193935	ALLISON L EMERY (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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 Wisconsin Inc. Humana Renaissance Dental	Opted out of Medicare	YES
1538264031	STEVEN WILLIAM CAMPBELL (Individual)	3801 MONARCH DR SUITE 1-A RACINE, WI 53406 (262) 554-7670	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 Wisconsin Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1548349483	RONALD C. NEIDER (Individual)	5707 BYRD AVE RACINE, WI 53406 (262) 637-7276		Non-Participating Provider	NO
1548390594	ROBERT L. HELLER (Individual)	6218 WASHINGTON AVE RACINE, WI 53406 (262) 886-1300	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	YES
1558430066	ROBERT J LAMBERTON (Individual)	5440 SPRING ST RACINE, WI 53406 (262) 886-9440		Opted out of Medicare	YES
1568675676	ANTHONY JOHN BUDZINSKI (Individual)	2510 ERIE ST RACINE, WI 53402 (262) 681-1898	Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	YES
1609184373	TND ASSOCIATES, INC. DENTACARE (Organization)	4915 WASHINGTON AVE SUITE B. RACINE, WI 53406 (262) 619-1949		Non-Participating Provider	NO
1609908219	JAMES E. LUETZOW, D.D.S., S.C. (Organization)	6011 DURAND AVE SUITE 200 RACINE, WI 53406 (262) 554-5468		Non-Participating Provider	NO
1629103049	BARRY M ENTIN (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Opted out of Medicare	YES
1629150289	MARGARET ABOAGYE (Individual)	400 LAKE AVE RACINE, WI 53403 (262) 633-0775	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1639179047	RICHARD JAY STULTZ (Individual)	3900 N BAY DR RACINE, WI 53402 (262) 639-1600		Non-Participating Provider	NO
1649305020	CURTIS W CRUTHERS (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Non-Participating Provider	NO
1649309121	MARK R KENFIELD (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Opted out of Medicare	YES
1659713790	LISA MINKOWSKI (Individual)	5045 NATURE TRL RACINE, WI 53403 (262) 496-8542		Non-Participating Provider	NO
1669567574	KIND DENTISTRY LLC KIMBERLY A KIND BAUER DDS (Organization)	4445 TAYLOR AVENUE RACINE, WI 53405 (262) 554-1600		Non-Participating Provider	NO
1679573539	ROBERT THOMAS NAVRATIL (Individual)	3528 MEACHEM RD RACINE, WI 53405 (262) 598-8750		Non-Participating Provider	YES
1679626915	DAVID RAMON REESMAN (Individual)	3900 NORTH BAY DR RACINE, WI 53402 (262) 639-1600	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1689635203	NEIDER & KNOELL DENTAL S.C. (Organization)	5707 BYRD AVE RACINE, WI 53406 (262) 637-7276		Non-Participating Provider	NO
1710016209	AARON E CRUTHERS (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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 Wisconsin Inc. Humana Renaissance Dental	Opted out of Medicare	YES
1710044243	JEFFREY ROMANSKI (Individual)	6218 WASHINGTON AVE SUITE C RACINE, WI 53406 (262) 886-1300	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1710069372	LANPHUONG NGUYEN (Individual)	400 LAKE AVE RACINE, WI 53403 (262) 633-0775	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	YES
1730172248	JEFFREY GEORGE ZELLER (Individual)	1320 S. GREEN BAY RD. RACINE, WI 53406 (262) 637-9371	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Humana Renaissance Dental	Opted out of Medicare	NO
1730272253	SPRING DENTAL GROUP, LTD. (Organization)	5440 SPRING STREET RACINE, WI 53406 (262) 886-9440		Non-Participating Provider	NO
1730280934	DEBRA SUE PALMER (Individual)	4425 TAYOR AVENUE SUITE 3 RACINE, WI 53405 (262) 554-9055	Blue Cross and Blue 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 Wisconsin Inc. Humana	Non-Participating Provider	NO
1730295916	JEFFREY M JANOSIK (Individual)	5802 WASHINGTON AVE SUITE 205 RACINE, WI 53406 (262) 884-0606	Delta Dental of Wisconsin Inc. Humana	Opted out of Medicare	YES
1730781352	SOUTHWEST FAMILY DENTAL CARE LLC (Organization)	2601 TAYLOR AVE RACINE, WI 53403 (262) 632-3156		Non-Participating Provider	NO
1740276369	NANCY LEE WOODS (Individual)	3624 WASHINGTON AVE RACINE, WI 53405 (262) 633-1090		Non-Participating Provider	YES
1740304039	FRANCESCA DEROSE (Individual)	316 5TH ST RACINE, WI 53403 (262) 634-8662		Non-Participating Provider	YES
1740916527	CHASE OSHIRO (Individual)	3903 DOUGLAS AVE RACINE, WI 53402 (262) 639-1272	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1750468658	GREGG ALLEN SEYLER (Individual)	600 ROMAYNE AVE RACINE, WI 53402 (262) 639-7200		Non-Participating Provider	NO
1770618175	RICHARD E PALMER (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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 Wisconsin Inc. Humana	Non-Participating Provider	NO
1770700957	RICHARD M WAGNER (Individual)	1925 SOUTH GREEN BAY RD RACINE, WI 53406 (262) 634-4646	Delta Dental of Wisconsin Inc.	Non-Participating Provider	YES
1770856700	TAWFIQ S NADI (Individual)	4915 WASHINGTON AVE SUITE B RACINE, WI 53406 (414) 326-8778	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 Wisconsin Inc. Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1780171728	DAVID LAWRENCE HARENKE (Individual)	1501 ALBERT ST RACINE, WI 53404 (262) 638-2954	Blue Cross and Blue 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
1801941570	RACINE DENTAL GROUP S C (Organization)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Non-Participating Provider	NO
1821150418	GREGORY T ISERMANN (Individual)	3500 MEACHEM RD RACINE, WI 53405 (262) 554-7782	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1821176108	JOSEPH PAUL SANFELIPPO (Individual)	5814 WASHINGTON AVE RACINE, WI 53406 (262) 886-6411	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1831275312	DON LOUIS SELMO (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371		Non-Participating Provider	NO
1841325230	JAY M OKSIUTA (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana Renaissance Dental	Non-Participating Provider	NO
1841371119	DAVID TIMOTHY JEANSON (Individual)	235 PERRY AVE RACINE, WI 53406 (262) 637-6381	Guardian Renaissance Dental	Non-Participating Provider	NO
1851339956	DAWN M LLORCA (Individual)	3528 MEACHEM RD RACINE, WI 53405 (262) 598-8750	Humana	Non-Participating Provider	YES
1851447387	RICHARD JOHN KEMPER (Individual)	1509 WASHINGTON AVE RACINE, WI 53403 (262) 634-5323	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1861182073	ROSANN MARATTIL (Individual)	6218 WASHINGTON AVENUE SUITE C RACINE, WI 53406 (630) 803-8237		Non-Participating Provider	NO
1861841470	LEAH MARIE JOHNSON (Individual)	1101 SOUTH AIRLINE ROAD RACINE, WI 53406 (262) 637-9243	Blue Cross and Blue 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 Wisconsin Inc. Humana	Non-Participating Provider	YES
1881383586	BUHISA ABDELKAFI (Individual)	5201 WASHINGTON AVE STE A RACINE, WI 53406 (262) 634-0441	Ambetter from Home State Health Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. DentaQuest Insurance Company Inc- IL DentaTrust/DentaSpan Dominion National Florida Combined Life Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1881763399	TOD M HAMMES (Individual)	5440 SPRING ST RACINE, WI 53406 (262) 886-9440		Opted out of Medicare	YES
1891473997	ION SOCHIRCA (Individual)	5201 WASHINGTON AVE SUITE A RACINE, WI 53406 (888) 988-4066	BEST Life Delta Dental of Wisconsin Inc. DentaTrust/DentaSpan Dominion National Humana	Non-Participating Provider	NO
1891820270	DERF A SIMES (Individual)	1320 S GREENBAY RD RACINE, WI 53406 (262) 637-9371	Blue Cross and Blue 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
1902983505	WENDY M. KNOELL (Individual)	5707 BYRD AVE RACINE, WI 53406 (262) 637-7276	Delta Dental of Wisconsin Inc.	Opted out of Medicare	YES
1922314210	LAKE DENTAL GROUP (Organization)	400 LAKE AVE RACINE, WI 53403 (262) 633-0775	DentaTrust/DentaSpan	Non-Participating Provider	NO
1922355684	MICHAEL R WESTMAN DDS MS SC (Organization)	4944 CHARLES ST RACINE, WI 53402 (262) 994-4229		Non-Participating Provider	NO
1932235769	STEPHEN NICKOLAS NOROVICH (Individual)	2601 TAYLOR AVE RACINE, WI 53403 (262) 632-3156		Non-Participating Provider	NO
1932814670	RACINE DENTAL CENTER LLC DENTAL CARE ALLIANCE (Organization)	1101 S AIRLINE RD RACINE, WI 53406 (262) 637-9371		Non-Participating Provider	NO
1942387642	LYNDSAY N. KNOELL (Individual)	5707 BYRD AVE RACINE, WI 53406 (262) 637-7276	Delta Dental of Wisconsin Inc.	Opted out of Medicare	YES
1972659787	MICHAEL ROBERT WESTMAN (Individual)	4944 CHARLES ST RACINE, WI 53402 (262) 639-7000		Opted out of Medicare	YES
1982736583	JAMES EBNER LUETZOW (Individual)	6011 DURAND AVE SUITE 200 RACINE, WI 53406 (262) 554-5468	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1992493464	JOSHUA MICHAEL RODRIGUEZ (Individual)	3900 N BAY DR RACINE, WI 53402 (262) 639-1600	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1992813893	CRAIG E FLEURY (Individual)	7117 GREEN BAY ROAD RACINE, WI 53404 (262) 942-7000		Non-Participating Provider	NO

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