Dentist Providers In Richardson, Texas

Search Dentist NPI records in Richardson, TX

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Richardson, TX. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 267, of which 93 are registered as organizations and 174 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.

65% Individuals

35% Organizations

22% Female

43% Male

65% Individual Providers (174)35% Medical Organizations (93)22% Female Providers (59)43% Male Providers (115)

Map of Providers

We have mapped the Dentist providers in Richardson, TX 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 Richardson, TX
NPI	Name	Address	Insurance	Medicare	PECOS
1003506668	AISSAR N SAHORI (Individual)	1001 BUCKINGHAM RD STE 104 RICHARDSON, TX 75081 (972) 238-9629		Non-Participating Provider	NO
1003901661	JEFFREY W MOORE DDS PA NORTH STAR DENTAL (Organization)	4011 E. RENNER ROAD SUITE #107 RICHARDSON, TX 75082 (972) 238-5665	Aetna CVS Health	Non-Participating Provider	NO
1003991662	WALNUT DENTAL, P.A. FAREAST VENTURE CORPORATION (Organization)	810 N PLANO RD STE 210 RICHARDSON, TX 75081 (972) 699-9800		Non-Participating Provider	NO
1013045442	PAMELA KELLEY BRYANT (Individual)	2007 N COLLINS BLVD STE 207 RICHARDSON, TX 75080 (972) 437-0300		Non-Participating Provider	NO
1013392463	RICHARDSON ORAL SURGERY AND IMPLANT CENTER PLLC (Organization)	1070 W CAMPBELL RD SUITE 200 RICHARDSON, TX 75080 (972) 231-6661		Non-Participating Provider	NO
1023175643	MAXEY STANTON BUCHWALD (Individual)	300 N. COIT RD. SUITE 245 RICHARDSON, TX 75080 (972) 644-3280	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 EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1023189412	JAMES A ARCHAMBEAU (Individual)	702 W ARAPAHO RD SUITE 102 RICHARDSON, TX 75080 (972) 238-7101		Non-Participating Provider	NO
1033420658	JAYASHREE JAYACHANDRAN (Individual)	306 SHADY HILL DR RICHARDSON, TX 75080 (972) 835-2181	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 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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1043320773	GEORGE R CLARK (Individual)	610 OLD CAMPBELL RD SUITE 116 RICHARDSON, TX 75080 (972) 231-2576	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	Non-Participating Provider	NO
1043706435	BLANCA DENTAL PLLC ALMA DENTAL CENTER (Organization)	670 W CAMPBELL RD STE 110 RICHARDSON, TX 75080 (214) 414-1922		Non-Participating Provider	NO
1053439422	CARL BRAXTON STEWART (Individual)	291 RENNER PKWY STE C RICHARDSON, TX 75080 (972) 238-9691		Non-Participating Provider	NO
1053441667	JAY L. NUTT & C. FRED PIETSCH, DDS, INC (Organization)	1231 E BELT LINE RD SUITE 103 RICHARDSON, TX 75081 (972) 690-8617		Non-Participating Provider	NO
1053479097	GIL JULIA (Individual)	908 AUDELIA RD SUITE 400 RICHARDSON, TX 75081 (972) 231-0799	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 DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1053756858	RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS GROWING SMILES (Organization)	3610 SHIRE BLVD STE 110 RICHARDSON, TX 75082 (214) 697-4173	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1053883447	AIN DENTAL CARE PLLC (Organization)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 231-4390	Aetna CVS Health DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1063082501	MARRIUM HAROON (Individual)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (732) 763-4329	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 Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana	Non-Participating Provider	NO
1063586022	MICHAEL CRAIG FAUCETTE (Individual)	204 S COTTONWOOD DR SUITE A RICHARDSON, TX 75080 (972) 231-2063	Aetna CVS 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 Delta Dental PPO	Non-Participating Provider	YES
1063744050	HAROLD VON SIMPSON (Individual)	100 N CENTRAL EXPY SUITE 1108 RICHARDSON, TX 75080 (972) 235-8555	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Molina Healthcare	Non-Participating Provider	YES
1073067534	ELLIS SHWARTS (Individual)	375 MUNICIPAL DR STE 114 RICHARDSON, TX 75080 (972) 437-6035	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
1073621587	MARK MCADAMS SIBLEY (Individual)	2007 N COLLINS SUITE 201 RICHARDSON, TX 75080 (972) 437-0202	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Florida Combined Life Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083096713	KWON-KIM DDS PLLC CENTERPOINT ADVANCED RESTORATIVE AND ESTHETIC DENTISTRY (Organization)	4112 EAST RENNER RD. RICHARDSON, TX 75082 (972) 480-0800		Non-Participating Provider	NO
1083145460	DAMON DENTAL AND IMPLANT CENTER, PLLC (Organization)	100 N CENTRAL EXPY STE 130 RICHARDSON, TX 75080 (972) 808-6008	UnitedHealthcare	Non-Participating Provider	NO
1083704340	CATHERINE ANNETTE PADILLA (Individual)	189 N PLANO RD SUITE 160 RICHARDSON, TX 75081 (972) 231-3434	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 Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083808661	JAN N ORTIZ (Individual)	700 E CAMPBELL RD STE 230 RICHARDSON, TX 75081 (972) 479-1200	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083912877	WEST TEXAS DENTAL (Organization)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (916) 716-8311		Non-Participating Provider	NO
1093035842	SIDDHARTH JAWAHAR TALSANIA (Individual)	908 AUDELIA RD STE 400 RICHARDSON, TX 75081 (972) 231-0799	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093115438	KITE DENTAL PLLC BRILLIANT DENTAL (Organization)	701 N CENTRAL EXPY BLDG #4 RICHARDSON, TX 75080 (469) 291-7023	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1093726408	DANIEL EARL GODBOLD (Individual)	204 S COTTONWOOD DR STE E RICHARDSON, TX 75080 (972) 680-3776	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093827693	GREGORY THOMAS COHLMIA (Individual)	1231 E BELT LINE RD SUITE 101 RICHARDSON, TX 75081 (972) 699-1101		Non-Participating Provider	NO
1093833824	KEVIN O COLES (Individual)	2137 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 578-7800	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124144969	JAMES BUSH PRITCHARD (Individual)	670 W ARAPAHO RD SUITE 3 RICHARDSON, TX 75080 (972) 680-8484		Non-Participating Provider	NO
1124188438	DAWN A WU (Individual)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 231-9591	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Paramount Paramount Dental	Non-Participating Provider	YES
1124245725	GEORGE BROOKS HANEY (Individual)	2400 LAKESIDE BLVD SUITE 700 RICHARDSON, TX 75082 (972) 644-9595	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	Non-Participating Provider	YES
1124282629	REGAN MARIE PREWITT (Individual)	701 N CENTRAL EXPY BLDG 4 RICHARDSON, TX 75080 (972) 231-8241	Blue Cross and Blue 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
1124566880	MACIE MILLS (Individual)	100 N CENTRAL EXPY STE 1107 RICHARDSON, TX 75080 (972) 907-9900		Non-Participating Provider	NO
1134246663	HAROON RANDHAWA (Individual)	2091 N COLLINS BLVD # 100 RICHARDSON, TX 75080 (972) 644-3800	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois 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 Companion Life Insurance Company Delta Dental PPO Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134560279	KENPAN HU DDS (Organization)	310 E MAIN ST STE 102 RICHARDSON, TX 75081 (972) 479-9304		Non-Participating Provider	NO
1144237249	ROCHELLE KATHERINE UBINAS (Individual)	811 S CENTRAL EXPY SUITE 101 RICHARDSON, TX 75080 (972) 235-0300	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 Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1144248089	RICHARD A. RAMIREZ D.D.S., PC ACCENT DENTAL OF RICHARDSON (Organization)	648 W CAMPBELL RD STE C RICHARDSON, TX 75080 (972) 234-2400		Non-Participating Provider	NO
1144462045	TONY LEWIS MULLINS (Individual)	1729 ANALOG DR RICHARDSON, TX 75081 (972) 437-0200		Non-Participating Provider	NO
1144844259	DR.ELIZABETH KWON,DDS (Organization)	670 W ARAPAHO RD STE 13 RICHARDSON, TX 75080 (972) 669-0409		Non-Participating Provider	NO
1154447415	MIRO A PAVELKA (Individual)	400 S COTTONWOOD DR SUITE B RICHARDSON, TX 75080 (972) 231-6661	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1154877595	JOSHUA DENTISTRY. PLLC (Organization)	3910 HARLINGTON LN RICHARDSON, TX 75082 (972) 530-8800		Non-Participating Provider	NO
1164513685	MARK LANCE ETHRIDGE (Individual)	1101 N JUPITER RD SUITE 109 RICHARDSON, TX 75081 (972) 669-9060	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1164530655	JAMES MATHEW WATSON (Individual)	291 WEST RENNER PARKWAY SUITE 100 RICHARDSON, TX 75080 (972) 234-0626		Non-Participating Provider	NO
1164591731	JAMES D PECK DDS PA (Organization)	702 W ARAPAHO SUITE 100 RICHARDSON, TX 75080 (972) 231-7214		Non-Participating Provider	NO
1174021760	KEVIN V HUA (Individual)	4251 E. RENNER RD- #126 RICHARDSON, TX 75082 (972) 231-6300	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	YES
1174154058	CHONG DENTAL & ASSOCIATES (Organization)	670 W ARAPAHO RD STE 13 RICHARDSON, TX 75080 (972) 669-0409		Non-Participating Provider	NO
1174502736	RODNEY PAUL LEWIS (Individual)	1001 BUCKINGHAM RD SUITE 200 RICHARDSON, TX 75081 (972) 907-9900	Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Guardian Health Advantage Humana Octave UnitedHealthcare	Non-Participating Provider	NO
1174631675	LLOYD A LAWRENCE (Individual)	721 W ARAPAHO RD SUITE 101 RICHARDSON, TX 75080 (972) 690-0705	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 Guardian Humana	Non-Participating Provider	YES
1174969810	LILY KO MORGAN (Individual)	1221 W CAMPBELL RD 101 RICHARDSON, TX 75080 (972) 231-7104	Aetna CVS 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 Florida Combined Life Guardian Humana	Non-Participating Provider	NO
1184059123	BRACKETS DENTAL PLLC (Organization)	800 N COIT RD SUITE 2550 RICHARDSON, TX 75080 (972) 385-9331		Non-Participating Provider	NO
1194377762	CASA MOSSMAN DENTAL PLLC (Organization)	670 W CAMPBELL RD STE 160 RICHARDSON, TX 75080 (972) 838-3772		Non-Participating Provider	NO
1194529180	CLAASSEN PLLC (Organization)	1050 W CAMPBELL RD STE 200 RICHARDSON, TX 75080 (239) 770-5159		Non-Participating Provider	NO
1194720664	RICHARD RAY RIGGS (Individual)	670 W ARAPAHO RD STE 5 RICHARDSON, TX 75080 (972) 437-9177		Non-Participating Provider	NO
1205211000	TONY NGUYEN (Individual)	609 OLYMPIC RICHARDSON, TX 75081 (469) 235-6504	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1205218526	PHILLIP CLAASSEN (Individual)	1050 W CAMPBELL RD RICHARDSON, TX 75080 (239) 770-5159	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1205447752	BARRET J DAVIDSON (Individual)	106 N COTTONWOOD DR RICHARDSON, TX 75080 (972) 231-5376	Guardian	Non-Participating Provider	NO
1205922853	TERRI EILEEN TRAIN (Individual)	100 N. CENTRAL EXPRESSWAY SUITE 1108 RICHARDSON, TX 75080 (972) 235-8555	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
1215259890	GARY CARL COLEMAN (Individual)	2011 DRAKE DR RICHARDSON, TX 75081 (972) 234-8963		Non-Participating Provider	NO
1225282296	ANURITHA CHEPYALA (Individual)	1750 ALMA RD STE 110 RICHARDSON, TX 75081 (469) 320-1346	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1225286677	MATTHEW JOSHUA MARTIN (Individual)	106 N COTTONWOOD DR SUITE B RICHARDSON, TX 75080 (972) 783-8811	Delta Dental PPO Guardian	Non-Participating Provider	YES
1225690753	JUN HEE PARK (Individual)	1450 STATE ST #500 RICHARDSON, TX 75082 (972) 587-0454	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1235990185	TEXAS DENTAL SLEEP SERVICES PLLC (Organization)	1415 E RENNER RD, SUITE 250 RICHARDSON, TX 75082 (512) 636-8120		Non-Participating Provider	NO
1245645175	CARL MICHAEL MENTESANA (Individual)	291 RENNER PKWY STE 103 RICHARDSON, TX 75080 (214) 738-6049		Non-Participating Provider	NO
1245695907	RICHARDSON SMILES PLLC (Organization)	2000 N PLANO RD #106, RICHARDSON, TX 75082 (917) 376-4408	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1255444154	DAVID JACKSON BODIE (Individual)	1111 N FLOYD RD SUITE B RICHARDSON, TX 75080 (972) 235-4767	Guardian	Non-Participating Provider	YES
1255891669	MINT DENTISTRY, PLLC (Organization)	4251 E RENNER RD STE 126 RICHARDSON, TX 75082 (214) 821-6468		Non-Participating Provider	NO
1265472047	SYNERGY DENTAL, PLLC (Organization)	228 WEST CAMPBELL ROAD RICHARDSON, TX 75080 (972) 633-2377	Aetna CVS Health	Non-Participating Provider	NO
1265528350	JON BRIAN PORSCH (Individual)	702 W ARAPAHO RD SUITE 100 RICHARDSON, TX 75080 (972) 231-7214		Non-Participating Provider	NO
1265671945	NEW SMILE , P.A (Organization)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 231-9591	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1265768113	COTTONWOOD FAMILY DENTAL ASSOCIATES (Organization)	208 S COTTONWOOD DR RICHARDSON, TX 75080 (972) 234-8080		Non-Participating Provider	NO
1275541344	LARRY BERTRAM WILSON (Individual)	721 W ARAPAHO RD #102 RICHARDSON, TX 75080 (972) 234-4531	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 Guardian Humana	Non-Participating Provider	NO
1275663841	CARL FRED PIETSCH (Individual)	1231 E BELT LINE RD SUITE #103 RICHARDSON, TX 75081 (972) 690-8617		Non-Participating Provider	NO
1285241158	KYUNG-RYUN DONG (Individual)	516 W ARAPAHO RD STE 103 RICHARDSON, TX 75080 (972) 231-5020	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1285732248	EDITH CORTES VAN DER GRAAFF (Individual)	510 N COIT RD STE 2048 RICHARDSON, TX 75080 (972) 470-1700	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan 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 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	NO
1285752204	JUDSON D GILILLAND (Individual)	375 MUNICIPAL DR STE. 114 RICHARDSON, TX 75080 (972) 437-6035		Non-Participating Provider	NO
1285824938	MARK C MCCORMICK (Individual)	516 W. ARAPAHO RD #103 RICHARDSON, TX 75080 (928) 636-1565	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1285850818	HANK CHANG (Individual)	1382 E. BELT LINE RD RICHARDSON, TX 75081 (214) 782-9601	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285869859	TIFFANY TRESA JACOB (Individual)	3555 MURPHY RD #103 RICHARDSON, TX 75082 (972) 424-3555	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295210573	LONE STAR DENTAL ANESTHESIA (Organization)	4112 E RENNER RD RICHARDSON, TX 75082 (972) 536-3972		Non-Participating Provider	NO
1295991529	JEFFREY W MOORE (Individual)	4011 E RENNER RD STE 107 RICHARDSON, TX 75082 (972) 238-5665	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1306224993	HASAN ZIA (Individual)	4112 E RENNER RD RICHARDSON, TX 75082 (972) 536-3972	Guardian	Non-Participating Provider	NO
1306903091	KAREN ROBERTSON (Individual)	650 INTERNATIONAL PKWY SUITE 100 RICHARDSON, TX 75081 (940) 497-2252	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1316019995	JINSOO KIM (Individual)	4112 E RENNER RD RICHARDSON, TX 75082 (972) 480-0800	Aetna CVS Health Delta Dental PPO Guardian	Non-Participating Provider	NO
1316070766	NGOCTUYEN NGUYEN (Individual)	435 W PRESIDENT GEORGE BUSH HWY #200 RICHARDSON, TX 75080 (972) 699-7778		Non-Participating Provider	NO
1316322779	INDUS DENTAL ASSOCIATES, P.C. (Organization)	800 N COIT RD SUITE 2550 RICHARDSON, TX 75080 (972) 385-9331		Non-Participating Provider	NO
1326197674	TOMMY B SHULTZ (Individual)	291 W RENNER PKWY STE A RICHARDSON, TX 75023 (972) 234-0626		Non-Participating Provider	NO
1326657040	TAMARA GATER (Individual)	1415 E RENNER RD STE 250 RICHARDSON, TX 75082 (972) 231-9499	Delta Dental PPO Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1326764986	NORTH STAR DENTAL PLLC (Organization)	4011 E RENNER RD STE 107 RICHARDSON, TX 75082 (972) 238-5665	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 UnitedHealthcare	Non-Participating Provider	NO
1336150598	CHARLES WAYNE RANKIN (Individual)	300 S COTTONWOOD DR STE F RICHARDSON, TX 75080 (972) 644-1998		Non-Participating Provider	YES
1346348661	EMILY SOO (Individual)	300 S COTTONWOOD DR SUITE #F RICHARDSON, TX 75080 (214) 703-0044	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1346459450	PAUL L FUNK (Individual)	670 W ARAPAHO RD STE 15 RICHARDSON, TX 75080 (972) 234-6644	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1346905817	SMILE BLVD., PLLC (Organization)	660 W CAMPBELL RD STE 101 RICHARDSON, TX 75080 (954) 608-9984	UnitedHealthcare	Non-Participating Provider	NO
1356792766	LIFESMILES DENTAL CARE (Organization)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 231-4390		Non-Participating Provider	NO
1366527913	PETER D TRAN (Individual)	810 N PLANO RD STE 210 RICHARDSON, TX 75081 (972) 699-9800		Non-Participating Provider	NO
1366854986	JAMES MATHEW WATSON (Individual)	291 RENNER PKWY STE A RICHARDSON, TX 75080 (972) 234-0626	Guardian	Non-Participating Provider	NO
1376436865	MORAD KANAN (Individual)	4424 RED BARN RICHARDSON, TX 75082 (469) 235-5129		Non-Participating Provider	NO
1376651893	VANITHA GOWDA (Individual)	2160 N COIT RD #140 RICHARDSON, TX 75080 (214) 570-9993	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376921528	BRECKINRIDGE DENTAL AND ORTHODONTICS (Organization)	4150 E RENNER RD SUITE 400 RICHARDSON, TX 75082 (323) 898-3102	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 DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1386810505	CANDICE ZERBY HUTCHESON (Individual)	100 N CENTRAL EXPY SUITE 1108 RICHARDSON, TX 75080 (972) 235-8555	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
1396093019	SINA ARHAMSADR (Individual)	1455 EAST BUCKINGHAM ROAD #404 RICHARDSON, TX 75081 (972) 234-2985	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396154936	JIMMY CARROLL BOLEY (Individual)	1106 HIGH VISTA LN RICHARDSON, TX 75080 (972) 808-0221		Non-Participating Provider	NO
1396753919	MARCIE ANN HANSEN-BUNCH (Individual)	1110 W SHORE DR STE 300E RICHARDSON, TX 75080 (972) 235-3675	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1407019979	PHU K TRAN (Individual)	201 S GREENVILLE AVE STE 108 RICHARDSON, TX 75081 (972) 699-1286		Non-Participating Provider	NO
1407896376	TERRY ALLAN BELL (Individual)	1050 E BELTLINE RD RICHARDSON, TX 75081 (972) 669-1444	Blue Cross and Blue 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
1407971724	G. RAY HAMBY, D.D.S., M.S.D., INC. (Organization)	100 N CENTRAL EXPY SUITE 1108 RICHARDSON, TX 75080 (972) 235-8666		Non-Participating Provider	NO
1417052564	ARTHUR LUK (Individual)	1600 N PLANO RD STE 2200 RICHARDSON, TX 75081 (972) 497-9668	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1417078353	LAN TU TRAN (Individual)	1501 E BELT LINE RD RICHARDSON, TX 75081 (972) 234-4747		Non-Participating Provider	NO
1417518457	SRUJANI REDDY GADUSU (Individual)	2091 N COLLINS BLVD # 100 RICHARDSON, TX 75080 (972) 644-3800	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 EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427383462	RONALD CLEO MCCONNELL (Individual)	208 SOUTH COTTONWOOD DRIVE RICHARDSON, TX 75080 (972) 234-8080		Non-Participating Provider	NO
1427461730	THANH CHIEM (Individual)	1127 WAKE DR RICHARDSON, TX 75081 (972) 375-1938	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1437275047	MITCHELL KIM (Individual)	3610 SHIRE BLVD SUITE 204 RICHARDSON, TX 75082 (972) 578-6633	Aetna CVS Health	Non-Participating Provider	NO
1437373750	LAWRENCE JAY KORENMAN (Individual)	1410 N PLANO RD STE 200 RICHARDSON, TX 75081 (972) 231-0585		Non-Participating Provider	NO
1437553401	NORTH RICHARDSON DENTISTRY ASSOCIATES, PC (Organization)	610 OLD CAMPBELL RD SUITE 116 RICHARDSON, TX 75080 (972) 544-4919		Non-Participating Provider	NO
1447339437	GARY DON NOBLE (Individual)	1778 N PLANO RD ST 208 RICHARDSON, TX 75081 (972) 690-0008		Non-Participating Provider	NO
1447547237	BRENT FLEMING (Individual)	1231 E BELT LINE RD SUITE103 RICHARDSON, TX 75081 (972) 690-8617	Delta Dental PPO Guardian	Non-Participating Provider	YES
1457437386	J B PORSCH DDS INC (Organization)	702 W ARAPAHO SUITE 100 RICHARDSON, TX 75080 (972) 231-7214		Non-Participating Provider	NO
1457664831	MOYOSOLA AJAJA (Individual)	3555 MURPHY RD SUITE 103 RICHARDSON, TX 75082 (972) 424-3555	Blue Cross and Blue 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	Non-Participating Provider	NO
1467533075	TUYET THI ANH HUYNH (Individual)	810 W ARAPAHO RD SUITE 96 RICHARDSON, TX 75080 (972) 238-9999	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467571000	ROBERT C. PACKARD (Individual)	2137 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 578-7800	Blue Cross and Blue 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
1477656726	SUSAN JEFFERS ATEN (Individual)	721 W ARAPAHO RD STE 102 RICHARDSON, TX 75080 (972) 669-2460	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 Blue Cross and Blue Shield of Alabama Blue Cross and Blue 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	Non-Participating Provider	YES
1487386801	MADISON COMER LIVELY (Individual)	106 N COTTONWOOD DR RICHARDSON, TX 75080 (972) 231-5376		Non-Participating Provider	NO
1497042345	JAMES S GUIRGUIS (Individual)	1231 E BELT LINE RD SUITE 103 RICHARDSON, TX 75081 (972) 690-8617	Guardian	Non-Participating Provider	YES
1497131395	PRACHI KAPADIA (Individual)	1450 STATE ST STE 500 RICHARDSON, TX 75082 (972) 587-0454	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 PPO	Non-Participating Provider	YES
1497295430	CHRISTOPHER L BARNES DDS PA (Organization)	670 W ARAPAHO RD SUITE 1 RICHARDSON, TX 75080 (972) 783-0990		Non-Participating Provider	NO
1497703060	MALAIKA S. THOMAS (Individual)	670 W ARAPAHO RD STE 3 RICHARDSON, TX 75080 (469) 914-0003	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana	Non-Participating Provider	NO
1508040056	APARNA ANGADI (Individual)	800 W RENNER RD #213 RICHARDSON, TX 75080 (972) 437-1063	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508084500	TOM MAC MCDOUGAL (Individual)	106 N COTTONWOOD DR RICHARDSON, TX 75080 (972) 231-5376		Non-Participating Provider	NO
1508084930	MAY F YEAP (Individual)	4251 E. RENNER RD. 126 RICHARDSON, TX 75082 (972) 231-6300	Guardian	Non-Participating Provider	NO
1508221326	MUZAMIL SAYEED (Individual)	318 CANDLEWOOD PL RICHARDSON, TX 75081 (972) 213-8516	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1508476813	RAMIN HEIDARI (Individual)	100 N CENTRAL EXPY STE 130 RICHARDSON, TX 75080 (972) 808-6008	Guardian Humana	Non-Participating Provider	NO
1508914011	JEFFREY SCOTT LIDE (Individual)	330 MUNICIPAL DR STE 100 RICHARDSON, TX 75080 (972) 479-0477	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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1518262054	VAN THANH NGUYEN (Individual)	2171 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 235-3999	Aetna CVS 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 Alabama Blue Cross and Blue 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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1528283827	NEILL PYBURN CLAYTON (Individual)	1112 N FLOYD RD STE 5 RICHARDSON, TX 75080 (972) 231-4876		Non-Participating Provider	NO
1528490562	FLOSSMORE DENTAL (Organization)	1382 EAST BELTLINE ROAD RICHARDSON, TX 75081 (469) 360-8522	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 UnitedHealthcare	Non-Participating Provider	NO
1538293865	DON K MAGGARD (Individual)	409 BELLE GROVE DR SUITE 107 RICHARDSON, TX 75080 (972) 669-1277		Non-Participating Provider	NO
1538365580	MATTHEW BRYSON ROBERTS (Individual)	648 W CAMPBELL RD SUITE D RICHARDSON, TX 75080 (972) 231-4437		Non-Participating Provider	YES
1538385448	DENTAL REPUBLIC - RICHARDSON, PC (Organization)	1501 E BELT LINE RD RICHARDSON, TX 75081 (972) 783-7180		Non-Participating Provider	NO
1548388028	SHAIESTA OSMAN (Individual)	101 S COIT RD SUITE #34 RICHARDSON, TX 75080 (972) 664-9696	Delta Dental PPO	Non-Participating Provider	NO
1548814940	SHEN ORTHODONTICS PLLC (Organization)	1231 E BELT LINE RD STE 101 RICHARDSON, TX 75081 (469) 418-5425		Non-Participating Provider	NO
1558457622	JAMES D PECK (Individual)	702 W ARAPAHO RD SUITE 100 RICHARDSON, TX 75080 (972) 231-7214	Blue Cross and Blue 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
1558514588	SOUTHWEST ORAL & MAXILLOFACIAL SURGERY, P.A. (Organization)	1001 BUCKINGHAM RD SUITE 106 RICHARDSON, TX 75081 (972) 644-8500		Non-Participating Provider	NO
1558763169	ANNA S VASILEV (Individual)	1729 ANALOG DR RICHARDSON, TX 75081 (972) 437-0200	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1558939579	VENTURI HOLDINGS, PLLC (Organization)	3017 E RENNER RD STE 120 RICHARDSON, TX 75082 (972) 644-9595	Aetna CVS Health	Non-Participating Provider	NO
1568525665	NGA THIEU HUANG (Individual)	310 E MAIN ST STE 102 RICHARDSON, TX 75081 (972) 479-9304		Non-Participating Provider	NO
1568877132	CARA DIANN KESSLER (Individual)	1729 ANALOG DR RICHARDSON, TX 75081 (972) 437-0200	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1578148201	PECAN DENTAL AND IMPLANT SOLUTIONS LLC SMILE MAKEOVER (Organization)	670 W CAMPBELL RD RICHARDSON, TX 75080 (414) 630-7384	Aetna CVS Health	Non-Participating Provider	NO
1578251930	EMERGIDENT PLLC REVIVE COSMETIC DENTISTRY PLLC (Organization)	670 W ARAPAHO RD STE 3 RICHARDSON, TX 75080 (469) 914-0003		Non-Participating Provider	NO
1578616231	RICHARD FRED BLUME (Individual)	1001 BUCKINGHAM RD SU. 102 RICHARDSON, TX 75081 (972) 235-3131	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1578801171	HANEY DENTAL PLLC G. BROOKS HANEY DDS (Organization)	3017 E RENNER RD SUITE 120 RICHARDSON, TX 75082 (972) 644-9595		Non-Participating Provider	NO
1588754915	STEPHEN C HILL (Individual)	1001 BUCKINGHAM RD SUITE 106 RICHARDSON, TX 75081 (972) 644-8500	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Opted out of Medicare	YES
1598899825	DON AND MARY MAGGARD, D.D.S., P.C. (Organization)	409 BELLE GROVE DR SUITE107 RICHARDSON, TX 75080 (972) 669-1277		Non-Participating Provider	NO
1609082270	DR. ANDY CHANG DDS, MS, PA (Organization)	1111 N FLOYD RD SUITE D RICHARDSON, TX 75080 (972) 644-7770		Non-Participating Provider	NO
1609145044	RICHARDSON DENTISTRY, PLLC (Organization)	1231 E BELT LINE RD SUITE103 RICHARDSON, TX 75081 (972) 690-8617		Non-Participating Provider	NO
1609320969	CDC ORTHODONTICS RICHARDSON PLLC (Organization)	4140 E RENNER RD 400 RICHARDSON, TX 75082 (972) 808-9600		Non-Participating Provider	NO
1619059953	ADRIENNE DENISE MAYS (Individual)	1701 N COLLINS BLVD STE 334 RICHARDSON, TX 75080 (972) 231-9499	Guardian Humana	Non-Participating Provider	NO
1619307105	FAN OF DENTISTRY PLLC FAN FAMILY DENTAL (Organization)	689 W RENNER RD RICHARDSON, TX 75080 (972) 234-5700		Non-Participating Provider	NO
1629158621	LIEN-MY NGUYEN HOANG (Individual)	155 N PLANO RD RICHARDSON, TX 75081 (972) 479-1181	Delta Dental PPO	Non-Participating Provider	NO
1629231600	OSMAN DENTAL (Organization)	101 S COIT RD #34 RICHARDSON, TX 75080 (972) 664-9696		Non-Participating Provider	NO
1629396247	LAWRENCE WONG (Individual)	375 MUNICIPAL DR SUITE 104 RICHARDSON, TX 75080 (972) 669-3663	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Renaissance Dental	Non-Participating Provider	NO
1639389158	WILLIAM C BALTAZAR (Individual)	702 W ARAPAHO RD SUITE 108 RICHARDSON, TX 75080 (972) 470-0236		Non-Participating Provider	NO
1649632365	JUVERIA SYED ALI HUSSAIN (Individual)	3610 SHIRE BLVD STE 110 RICHARDSON, TX 75082 (214) 501-2721	Blue Cross and Blue 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
1659502730	CANYON CREEK FAMILY DENTISTRY, P.A. (Organization)	2091 N COLLINS BLVD STE 100 RICHARDSON, TX 75080 (972) 644-3800	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 DentaQuest USA Insurance Company Inc.	Non-Participating Provider	NO
1659719839	AMENA JAMEELUDDIN (Individual)	901 WEDGEWOOD WAY RICHARDSON, TX 75080 (214) 683-8558	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 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. Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1659971653	RICHARDSON HEIGHTS DENTAL, PLLC RICHARDSON HEIGHTS DENTAL (Organization)	721 W ARAPAHO RD STE 101 RICHARDSON, TX 75080 (972) 690-0705	UnitedHealthcare	Non-Participating Provider	NO
1669039962	MINT DENTISTRY, PLLC (Organization)	3551 WILSHIRE WAY STE 500 RICHARDSON, TX 75082 (214) 821-6468		Non-Participating Provider	NO
1669539367	ROY SMITH (Individual)	650 INTERNATIONAL PKWY SUITE 100 RICHARDSON, TX 75081 (972) 437-4795	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
1669786430	JESSE ALLEN STAFFORD (Individual)	516 W ARAPAHO RD STE 103 RICHARDSON, TX 75080 (972) 231-5020		Non-Participating Provider	NO
1679359962	XIXI WU BDS MS PHD PLLC (Organization)	702 W ARAPAHO RD STE 108 RICHARDSON, TX 75080 (347) 249-3013		Non-Participating Provider	NO
1679950851	LAXMI SAI DENTAL PLLC MG FAMILY DENTISTRY RICHARDSON (Organization)	300 S COTTONWOOD DRIVE SUITE B RICHARDSON, TX 75080 (214) 307-4755	UnitedHealthcare	Non-Participating Provider	NO
1689227449	NV DENTAL ARTS PLLC NV DENTAL ARTS (Organization)	2171 BUCKINGHAM RD RICHARDSON, TX 75081 (408) 799-1601		Non-Participating Provider	NO
1689245334	TEXAS DENTAL PRACTICES PLLC RICHARDSON GENERAL AND COSMETIC DENTISTRY (Organization)	700 E CAMPBELL RD STE 240 RICHARDSON, TX 75081 (972) 690-6653	Aetna CVS Health	Non-Participating Provider	NO
1689835399	TRUC THANH PHAN (Individual)	2141 E ARAPAHO RD STE 140 RICHARDSON, TX 75081 (972) 231-8700	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana	Non-Participating Provider	YES
1689863128	JAVIER J ORTIZ (Individual)	700 E CAMPBELL RD STE 230 RICHARDSON, TX 75081 (972) 479-1200	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 DeltaCare USA DentaQuest USA Insurance Company Inc. EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1689972895	CHRISTIE S LEE (Individual)	1729 ANALOG DR RICHARDSON, TX 75081 (972) 437-0200	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 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
1699011577	TRUC PHAN, DDS, PC EVERCARE DENTAL (Organization)	2141 E ARAPAHO RD 140 RICHARDSON, TX 75081 (469) 358-1868	Aetna CVS Health	Non-Participating Provider	NO
1699409235	CYNTHIA KWON PLLC (Organization)	2000 N PLANO RD STE 106 RICHARDSON, TX 75082 (214) 812-9756		Non-Participating Provider	NO
1699505313	DXCC VENTURES PLLC (Organization)	501 W CAMPBELL RD RICHARDSON, TX 75080 (214) 734-5883		Non-Participating Provider	NO
1699863415	CANDICE HUTCHESON, D.D.S., M.S., PLLC (Organization)	100 N CENTRAL EXPY SUITE 1108 RICHARDSON, TX 75080 (972) 235-8555		Non-Participating Provider	NO
1699982249	MELODY A STAMPE (Individual)	1415 NORTH RENNER ROAD SUITE 250 RICHARDSON, TX 75082 (972) 231-9499	Anthem Blue Cross and Blue Shield Baylor Scott and White Health Plan Blue Cross and Blue 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	YES
1700171923	HAMID KASHANI DDS A PROFESSIONAL CORPORATION PLLC AZUL DENTAL (Organization)	1455 BUCKINGHAM RD SUITE 404 RICHARDSON, TX 75081 (972) 234-2985	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1700845930	ROBERT JASON PAVELKA (Individual)	400 S COTTONWOOD DR SUITE B RICHARDSON, TX 75080 (972) 231-6661	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 PPO Guardian Paramount Paramount Dental Renaissance Dental	Opted out of Medicare	YES
1700935020	ROBERT L. HART (Individual)	407 FOREST GROVE DR RICHARDSON, TX 75080 (972) 566-6447		Non-Participating Provider	NO
1700974367	KATHRYN GRAHAM JODRY (Individual)	1001 BUCKINGHAM RD STE 100 RICHARDSON, TX 75081 (972) 235-6752	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1710093224	ALI ALLEN FAIZ (Individual)	1311 W CAMPBELL RD RICHARDSON, TX 75080 (972) 231-3188	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710369384	NGOC CHAU VU (Individual)	189 N PLANO RD STE 160 RICHARDSON, TX 75081 (972) 231-3434	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 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 Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1720074479	BRADFORD WAYNE TINER (Individual)	3013 E RENNER RD. STE 100 RICHARDSON, TX 75082 (972) 231-3013		Non-Participating Provider	YES
1720099716	NORTH CENTRAL DENTAL SERVICES PLLC SUNRISE DENTAL (Organization)	811 S CENTRAL EXPY SUITE 101 RICHARDSON, TX 75080 (972) 235-0300		Non-Participating Provider	NO
1720259088	PRAMOD K THOMAS (Individual)	445 WALNUT ST #133 RICHARDSON, TX 75081 (972) 238-7233	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 PPO EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1720746647	SOUTH PLANO FAMILY DENTISTRY, PLLC (Organization)	1332 S PLANO RD STE 530 RICHARDSON, TX 75081 (940) 220-7833	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1730209537	MARK SHERBURNE DENNY (Individual)	3095 PROMENADE CTR # B RICHARDSON, TX 75080 (972) 680-2034		Non-Participating Provider	NO
1730309402	DR ROBERT E MORGAN DR ROBERT E MORGAN & ASSOCIATES (Organization)	375 MUNICIPAL SUITE 104 RICHARDSON, TX 75080 (972) 669-3663		Non-Participating Provider	NO
1730406075	KOMSON SUDHIVORASETH (Individual)	228 W CAMPBELL RD RICHARDSON, TX 75080 (972) 633-2377	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1730441692	ITOOTH DENTISTRY, PLLC (Organization)	905 N JUPITER RD SUITE 180 RICHARDSON, TX 75081 (214) 924-3160	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	Non-Participating Provider	NO
1730515214	RICHARDSON FAMILY DENTISTRY PLLC (Organization)	800 N COIT RD SUITE 2550 RICHARDSON, TX 75080 (972) 385-9331	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	Non-Participating Provider	NO
1730639766	MAXEY STANTON BUCHWALD (Individual)	300 N COIT RD STE 245 RICHARDSON, TX 75080 (972) 644-3280	Aetna CVS 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 Delta Dental PPO Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1740501337	KELLY COMERFORD HALVERSON (Individual)	1001 BUCKINGHAM RD #104 RICHARDSON, TX 75081 (972) 238-9626	Guardian	Non-Participating Provider	NO
1740541267	MANSI SIDDHARTH TALSANIA (Individual)	908 AUDELIA RD STE 400 RICHARDSON, TX 75081 (972) 231-0799	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1740980515	MEGAN SHEN (Individual)	375 MUNICIPAL DR STE 104 RICHARDSON, TX 75080 (972) 669-3663		Non-Participating Provider	NO
1750392858	DOUGLAS W VAIL (Individual)	811 S CENTRAL EXPY SUITE 101 RICHARDSON, TX 75080 (972) 235-0300	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1750488748	DENTAL AVENUE, P.A. (Organization)	300 S COTTONWOOD DR SUITE #F RICHARDSON, TX 75080 (214) 703-0044	Aetna CVS Health	Non-Participating Provider	NO
1760497291	RICHARDSON ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, INC. (Organization)	400 S COTTONWOOD DR SUITE B RICHARDSON, TX 75080 (972) 231-6661		Non-Participating Provider	NO
1760501944	J.C. BOLEY, D.D.S., M.S., INC. (Organization)	400 S COTTONWOOD DR RICHARDSON, TX 75080 (972) 231-4896		Non-Participating Provider	NO
1760826598	DENTAL CARE NOW (Organization)	2133 BUCKINGHAM RD RICHARDSON, TX 75081 (240) 328-8995	Aetna CVS Health	Non-Participating Provider	NO
1770153876	MMM ORTHODONTICS, PLLC (Organization)	100 N CENTRAL EXPY STE 1107 RICHARDSON, TX 75080 (972) 907-9900		Non-Participating Provider	NO
1770601445	MARVIN FRANK OGLE (Individual)	648 W CAMPBELL RD RICHARDSON, TX 75080 (972) 231-4984		Non-Participating Provider	NO
1770605610	PRANAY RAMAN PATEL (Individual)	300 S COTTONWOOD DR RICHARDSON, TX 75080 (972) 231-5324		Non-Participating Provider	NO
1770744385	YARITZA VAZQUEZ (Individual)	700 EAST CAMPBELL RD SUITE 230 RICHARDSON, TX 75081 (972) 479-1200	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 DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1770877490	SARAH DENNY ROBINSON (Individual)	3095 PROMENADE CTR B RICHARDSON, TX 75080 (972) 680-2034		Non-Participating Provider	NO
1770906976	SHAWN DUNN BLAGOWSKY (Individual)	1778 N PLANO RD STE 208 RICHARDSON, TX 75081 (972) 690-0008		Non-Participating Provider	NO
1780608141	CHRISTOPHER L BARNES (Individual)	670 W ARAPAHO RD SUITE 1 RICHARDSON, TX 75080 (972) 783-0880	Blue Cross and Blue Shield of Alabama Blue Cross and Blue 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
1780984922	COMFORT DENTAL RICHARDSON, PLLC (Organization)	516 W ARAPAHO 103 RICHARDSON, TX 75080 (972) 231-5020	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	Non-Participating Provider	NO
1790875227	DANIEL T. CARRIER (Individual)	610 OLD CAMPBELL RD SUITE 112 RICHARDSON, TX 75080 (972) 231-2576	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
1790906048	LAJUANA GARRISON (Individual)	1101 HAMPSHIRE LANE RICHARDSON, TX 75080 (972) 235-3535		Non-Participating Provider	NO
1801180757	BENJAMIN MORGAN (Individual)	375 MUNICIPAL DR SUITE 104 RICHARDSON, TX 75080 (972) 669-3663	Aetna CVS 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 Florida Combined Life Guardian Humana	Non-Participating Provider	NO
1801271804	COLLIN PATRICK BURNS (Individual)	375 MUNICIPAL DR SUITE 104 RICHARDSON, TX 75080 (972) 669-3663	Delta Dental PPO Humana	Non-Participating Provider	NO
1801892864	NEERAJA KIKKERI (Individual)	2160 N COIT RD STE 140 RICHARDSON, TX 75080 (214) 570-9993		Non-Participating Provider	NO
1811054810	JOHN BARNES (Individual)	650 INTERNATIONAL PKWY SUITE 100 RICHARDSON, TX 75081 (972) 437-4795	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811080005	NHUNG THI-TUYET NGUYEN (Individual)	2171 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 235-3999		Non-Participating Provider	NO
1811227473	EMMANUEL DENTAL P.A. SAFE DENTAL GROUP (Organization)	445 WALNUT ST SUITE 133 RICHARDSON, TX 75081 (972) 238-7233		Non-Participating Provider	NO
1811385891	ORCHID FAMILY DENTAL TIFFANY JACOB DDS PLLC (Organization)	3555 MURPHY RD SUITE 103 RICHARDSON, TX 75082 (972) 424-3555	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1811407828	FLUELLEN ROBERTS FAMILY DENTISTRY, PLLC (Organization)	1050 W CAMPBELL RD STE 200 RICHARDSON, TX 75080 (972) 231-8241		Non-Participating Provider	NO
1811506876	OSAMA MOHAMMAD SIDDIQUI (Individual)	670 W CAMPBELL RD STE 150 RICHARDSON, TX 75080 (469) 781-0231	Aetna CVS 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 Delta Dental PPO DentaQuest USA Insurance Company Inc. Guardian	Non-Participating Provider	NO
1811911886	DOUGLAS RAU CROSBY (Individual)	1920 N COIT RD SUITE 220 RICHARDSON, TX 75080 (972) 680-9882	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1821227885	BRIANNA LYNN FLUELLEN (Individual)	701 N CENTRAL EXPY BLDG 4 RICHARDSON, TX 75080 (972) 231-8241		Opted out of Medicare	YES
1821361858	CARLA MATWIJECKY DAMON (Individual)	375 MUNICIPAL DR STE 104 RICHARDSON, TX 75080 (972) 669-3663		Non-Participating Provider	NO
1821855123	NUTEETH DENTAL CENTERS PLLC (Organization)	100 N CENTRAL EXPY STE 130 RICHARDSON, TX 75080 (972) 608-8008		Non-Participating Provider	NO
1831271923	DUC PHU HUYNH (Individual)	3209 LESTER DR RICHARDSON, TX 75082 (214) 701-3969	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 DeltaCare USA 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
1831404417	SHAWN XUAN BUI (Individual)	905 N JUPITER RD STE 180 RICHARDSON, TX 75081 (972) 234-8800	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 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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831582725	DFW DENTAL ASSOCIATES, PA RANKIN DENTAL GROUP (Organization)	300 S COTTONWOOD DR SUITE F RICHARDSON, TX 75080 (972) 644-1998		Non-Participating Provider	NO
1841551421	DENTISTRY BY DESIGN PA (Organization)	3013 E RENNER RD STE 100 RICHARDSON, TX 75082 (972) 231-3013		Non-Participating Provider	NO
1841637857	MOHAMMED RAWAS (Individual)	222 ALEXANDRA AVE RICHARDSON, TX 75081 (323) 485-4742	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 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 Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1851068571	ANDRE GALLO CARVALHO (Individual)	291 W. RENNER PKWY SUITE 101 RICHARDSON, TX 75080 (972) 234-0626	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1861562316	DENTAL & BEYOND PC (Organization)	1729 ANALOG DR RICHARDSON, TX 75081 (972) 437-0200	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	Non-Participating Provider	NO
1861840845	WEST SHORE FAMILY DENTAL (Organization)	1110 W SHORE DR RICHARDSON, TX 75080 (972) 235-3675		Non-Participating Provider	NO
1861898637	WYLIE ORTHODONTIC SPECIALISTS LT ORTHO (Organization)	100 N CENTRAL EXPY #1107 RICHARDSON, TX 75080 (972) 907-9900		Non-Participating Provider	NO
1871086025	NAZAYAT PARVEZ (Individual)	700 E CAMPBELL RD STE 240 RICHARDSON, TX 75081 (972) 690-6653	Aetna CVS 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 Delta Dental PPO Guardian Humana Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1871699488	AFSHIN AZMOODEH (Individual)	228 W CAMPBELL RD RICHARDSON, TX 75080 (972) 644-3800	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 Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1871754333	SAFE DENTAL GROUP (Organization)	445 WEST WALNUT ST #133 RICHARDSON, TX 75081 (972) 238-7233		Non-Participating Provider	NO
1881074565	DANIELLE PHAN (Individual)	1729 ANALOG DR RICHARDSON, TX 75081 (972) 437-0200	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 DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881468874	CHIARA CATHERINE CONTRERAS ROMANELLI (Individual)	1070 W CAMPBELL RD STE 100 RICHARDSON, TX 75080 (972) 972-4671	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 PPO Guardian Humana	Non-Participating Provider	NO
1881724474	JAY L NUTT (Individual)	1231 E BELT LINE RD SUITE 103 RICHARDSON, TX 75081 (972) 690-8617	Guardian	Non-Participating Provider	NO
1881820611	NISHIT KAPADIA (Individual)	1251 W CAMPBELL RD SUITE #200 RICHARDSON, TX 75080 (972) 889-2166	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 PPO Humana Renaissance Dental	Non-Participating Provider	NO
1881831790	DANE HOANG D.D.S., M.S & ASSOCIATES (Organization)	4011 E RENNER RD SUITE 108 RICHARDSON, TX 75082 (972) 808-9600	Aetna CVS Health	Non-Participating Provider	NO
1881961076	ENDODONTIC AND PERIODONTIC SPECIALISTS (Organization)	700 E CAMPBELL RD SUITE 230 RICHARDSON, TX 75081 (972) 479-1200	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma DentaQuest USA Insurance Company Inc. Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1881974269	SAMUEL ROBINSON (Individual)	1070 W CAMPBELL RD RICHARDSON, TX 75080 (281) 923-2641	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1891206066	SAMUEL W ROBINSON, DDS, PLLC RICHARDSON ORAL & MAXILLOFACIAL SURGERY (Organization)	1070 W CAMPBELL RD STE 200 RICHARDSON, TX 75080 (972) 231-6661	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1891333837	RODNEY P LEWIS DDS MS PA (Organization)	100 N CENTRAL EXPY STE 1107 RICHARDSON, TX 75080 (972) 907-9900		Non-Participating Provider	NO
1902011927	YEN THI NGOC TRAN (Individual)	327 W SPRING VALLEY RD STE B RICHARDSON, TX 75081 (972) 480-9999		Non-Participating Provider	NO
1912058439	MARTHA A ALVAREZ (Individual)	312 FALL CREEK DR RICHARDSON, TX 75080 (214) 394-5045	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1922431519	MTK DENTISTRY, PLLC (Organization)	743 BRICK ROW DR STE 220 RICHARDSON, TX 75081 (214) 502-5128		Non-Participating Provider	NO
1932112406	DANIEL M STEWART (Individual)	1001 BUCKINGHAM RD SUITE 108 RICHARDSON, TX 75081 (972) 680-1606	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 TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1942213442	ROY WILLIAM BLEDSOE (Individual)	104 NORTH COTTONWOOD DR RICHARDSON, TX 75080 (972) 783-8811		Non-Participating Provider	NO
1942369418	WILNER LOISEAU (Individual)	1750 ALMA RD SUITE 108 RICHARDSON, TX 75081 (972) 720-9373	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 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 Guardian Humana Paramount Paramount Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1942375373	KERRY DANNY SHAKESPEAR (Individual)	516 W. ARAPAHO RD #103 RICHARDSON, TX 75080 (972) 231-5020	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 Guardian	Non-Participating Provider	NO
1952370322	MADHU K NAIR (Individual)	2600 FAIRFIELD DR RICHARDSON, TX 75082 (682) 325-9558	Aetna CVS Health AvMed Blue Cross and Blue 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 TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1952533226	HAMIDREZA MIRSEPASI (Individual)	1001 BUCKINGHAM RD RICHARDSON, TX 75081 (972) 231-5744	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1952699928	NAFTALI KADOSH DDS INC (Organization)	1112 N FLOYD RD SUITE 6B RICHARDSON, TX 75080 (972) 907-8157		Non-Participating Provider	NO
1962503607	BOBBY JIVNANI (Individual)	670 W CAMPBELL RD STE 120 RICHARDSON, TX 75080 (972) 690-1235	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1962617993	YEN DENTISTRY P.C. (Organization)	1332 S PLANO RD STE 520 RICHARDSON, TX 75081 (972) 669-8888		Non-Participating Provider	NO
1972366326	COLLIN P BURNS PLLC (Organization)	375 MUNICIPAL DR STE 100 RICHARDSON, TX 75080 (972) 669-3663		Non-Participating Provider	NO
1972855179	NATHAN DANIEL JAMES COUGHLIN (Individual)	4150 E RENNER RD STE 400 RICHARDSON, TX 75082 (972) 248-9119	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992062244	REGAN PREWITT DDS PLLC (Organization)	1112 N FLOYD RD STE 6B RICHARDSON, TX 75080 (972) 907-8157		Non-Participating Provider	NO
1992069595	YOORI KIM (Individual)	4011 E RENNER RD SUITE 107 RICHARDSON, TX 75082 (972) 238-5665	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 PPO Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1992158349	CHEPYALA PLLC GENTLE TOUCH FAMILY AND COSMETIC DENTISTRY (Organization)	1750 ALMA RD RICHARDSON, TX 75081 (214) 733-4241		Non-Participating Provider	NO
1992809297	KERRY M GOAD (Individual)	2400 LAKESIDE BLVD SUITE 710 RICHARDSON, TX 75082 (972) 690-6653	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

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