Dentist Providers In Savannah, Georgia

Search Dentist NPI records in Savannah, GA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Savannah, GA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 273, of which 65 are registered as organizations and 208 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.

76% Individuals

24% Organizations

22% Female

54% Male

76% Individual Providers (208)24% Medical Organizations (65)22% Female Providers (60)54% Male Providers (148)

Map of Providers

We have mapped the Dentist providers in Savannah, GA 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 Savannah, GA
NPI	Name	Address	Insurance	Medicare	PECOS
1003236407	MARK W DUSEK (Individual)	500 EISENHOWER DR SAVANNAH, GA 31406 (912) 355-7022	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1003955592	LANDMARK DENTAL GROUP (Organization)	6600 ABERCORN ST SUITE 204 SAVANNAH, GA 31405 (912) 356-5444		Non-Participating Provider	NO
1013013754	FELIX T MAHER (Individual)	5302 FREDERICK ST SUITE 101 SAVANNAH, GA 31405 (912) 352-0546		Non-Participating Provider	NO
1013279462	CHRISTIAN ROSARIO PATTI (Individual)	5509 PAULSEN ST SAVANNAH, GA 31405 (912) 354-9204	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 WellCare of North Carolina	Non-Participating Provider	NO
1013289891	WILLIAM STEPHEN RAY (Individual)	5509 PAULSEN ST SAVANNAH, GA 31405 (912) 354-9204		Non-Participating Provider	NO
1023113875	DONIHUE WATERS (Individual)	9100 WHITE BLUFF RD SUITE 104 SAVANNAH, GA 31406 (912) 354-3474		Non-Participating Provider	NO
1023266699	DR. PATRICIA MCCOY BROWN, D.M.D., PC (Organization)	102 E VICTORY DR SAVANNAH, GA 31405 (912) 238-3600		Non-Participating Provider	NO
1023380482	ROBERT ALEXANDER BOSQUE (Individual)	723 E 65TH ST SAVANNAH, GA 31405 (912) 355-0555		Non-Participating Provider	YES
1023796117	FARHEEN ALI (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Humana	Non-Participating Provider	NO
1033788096	MILEN RAJESH PATEL (Individual)	5 MALL ANX SAVANNAH, GA 31406 (912) 495-8887	Ambetter from Absolute Total Care Ambetter of North Carolina 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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY WellCare of North Carolina	Non-Participating Provider	NO
1033820063	GRANT ZAKHAR (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (855) 901-6831	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 UnitedHealthcare	Non-Participating Provider	NO
1043352313	NATALIE WERMUTH (Individual)	107 CHARLOTTE DR SAVANNAH, GA 31410 (912) 898-0090	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	Non-Participating Provider	NO
1063490365	ROBERT A BOSQUE JR DMD PC (Organization)	723 E 65TH ST SAVANNAH, GA 31405 (912) 355-0555	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1063515989	GERARD SMITH (Individual)	343 COMMERCIAL DR SUITE B SAVANNAH, GA 31406 (912) 356-3636		Non-Participating Provider	YES
1063701787	CARY P COWGILL (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1063745479	LOY ADAM HAGAN (Individual)	5 PLANTERS LANE SAVANNAH, GA 31411 (912) 272-7656	Blue Cross and Blue 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 Renaissance Dental	Non-Participating Provider	NO
1073033171	KIRSTEN OCHALA JORDAN (Individual)	400 JOHNNY MERCER BLVD STE A SAVANNAH, GA 31410 (912) 897-5788	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	Non-Participating Provider	NO
1073623377	LAWRENCE P SCHMITZ (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Blue Cross and Blue 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
1073639548	MARK ANTHONY MCCATTY (Individual)	15 E MONTGOMERY XRD SUITE 201 SAVANNAH, GA 31406 (912) 927-3615	Blue Cross and Blue 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
1083736821	ROBERT E WALINCHUS (Individual)	132 SOUTHERN BLVD SAVANNAH, GA 31405 (912) 226-0019	Guardian	Non-Participating Provider	NO
1093410532	AISHA GARCIA (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Anthem Blue Cross and Blue Shield Florida Combined Life Humana	Non-Participating Provider	NO
1093940231	BRENT EDWARD HERRIN (Individual)	5901 ABERCORN ST SAVANNAH, GA 31405 (912) 355-5901	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1104120245	GEORGETOWN FAMILY DENTISTRY LLC (Organization)	821 KING GEORGE BLVD SUITE A SAVANNAH, GA 31419 (912) 660-1197		Non-Participating Provider	NO
1104147719	AMERICAN FAMILY DENTAL, P.C. HOWARD DENTAL GROUP (Organization)	533 STEPHENSON AVE SAVANNAH, GA 31405 (912) 236-3557		Non-Participating Provider	NO
1104186329	SAVANNAH DENTAL ASSOCIATES,P.C. (Organization)	413 W DUFFY ST SAVANNAH, GA 31401 (912) 234-5003		Non-Participating Provider	NO
1104290097	MICHAEL WHIRT (Individual)	533 STEPHENSON AVE SAVANNAH, GA 31405 (912) 236-3557	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1104447309	SD DENTAL LLC (Organization)	815 E 68TH ST SAVANNAH, GA 31405 (912) 352-4338		Non-Participating Provider	NO
1114017530	DRS BRODERICK VAUGHT & DUSEK PC THOMAS R BRODERICK ROBERT A VAUGHT MARK W DUSEK (Organization)	500 EISENHOWER DRIVE SAVANNAH, GA 31406 (912) 355-7022		Non-Participating Provider	NO
1114154390	MORRISON DENTAL ASSOCIATES, P.C. (Organization)	207 E 31ST ST SAVANNAH, GA 31401 (912) 232-2779	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1114388477	RYAN ALLEN BURROUGHS (Individual)	15 LAKE ST STE 100 SAVANNAH, GA 31411 (912) 598-8111	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1114941390	DOUGLAS JOSEPH GIORGIO (Individual)	6 SKIDAWAY VILLAGE WALK SUITE 201 SAVANNAH, GA 31411 (912) 598-8111		Non-Participating Provider	NO
1124168612	WILLIAM R MASSEY (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324		Opted out of Medicare	YES
1124258835	STEPHANIE JOY SWEENEY (Individual)	836 E 65TH ST STE 11 SAVANNAH, GA 31405 (912) 355-8821		Non-Participating Provider	NO
1124260096	TODD WILSON FRUIT (Individual)	400 JOHNNY MERCER BLVD STE A SAVANNAH, GA 31410 (912) 897-5788		Non-Participating Provider	NO
1124787643	DENTAL IMPLANTS AND SPECIALTY SERVICES (Organization)	5202 SUTLIVE ST SAVANNAH, GA 31405 (912) 525-7777		Non-Participating Provider	NO
1134247257	HOWARD FAMILY DENTAL, LLC (Organization)	206 JOHNNY MERCER BLVD SAVANNAH, GA 31410 (912) 897-9000	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1144207994	JAMES JOSEPH WARE (Individual)	2127 EAST VICTORY DRIVE SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1144244955	C. THOMAS GRAHAM (Individual)	7001 HODGSON MEMORIAL DR SUITE 4 SAVANNAH, GA 31406 (912) 353-8383		Non-Participating Provider	NO
1144922956	ALYSSA ELEZYE (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Anthem Blue Cross and Blue Shield Florida Combined Life Humana	Non-Participating Provider	NO
1154338473	JAMES ALLEN MCNAUGHTON (Individual)	114 E BROUGHTON ST SAVANNAH, GA 31401 (912) 238-0888		Non-Participating Provider	NO
1154482297	MICHAEL CHRISTOPHER WILSON (Individual)	501 EISENHOWER DR SAVANNAH, GA 31406 (912) 354-1515	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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	Opted out of Medicare	YES
1154920445	ISLANDS FAMILY DENTAL, LLC (Organization)	3 WILMINGTON VILLAGE WAY SAVANNAH, GA 31410 (912) 897-2232	UnitedHealthcare	Non-Participating Provider	NO
1164454575	TODD ROBERT BJUR (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1164513057	GERALD MITCHELL BENSON (Individual)	5010 PAULSEN ST STE #1 SAVANNAH, GA 31405 (912) 351-0081		Non-Participating Provider	YES
1164551057	CHARLES RICHARD FANA (Individual)	7130 HODGSON MEMORIAL DR STE 103 SAVANNAH, GA 31406 (912) 352-3955	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1164793741	SAVANNAH DENTAL GROUP, LLC BRIAN BEAUDREAU, LLC (Organization)	5509 PAULSEN ST SAVANNAH, GA 31405 (912) 354-9204	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1174557565	SAM PETER DEMARTINO (Individual)	911 E 67TH ST SAVANNAH, GA 31405 (912) 352-2289	Blue Cross and Blue 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
1174898340	DOUG SMITH DDS ORTHODONTICS LLC SMITH DENTAL SPECIALTIES (Organization)	5102 PAULSEN ST BLDG 8 SAVANNAH, GA 31405 (912) 655-8855		Non-Participating Provider	NO
1184117392	SCOTT CARL HARMAN (Individual)	22 PARK OF COMMERCE WAY STE 1 SAVANNAH, GA 31405 (912) 447-5556		Non-Participating Provider	NO
1184602526	ROBERT M OSBORNE (Individual)	340 EISENHOWER DRIVE BUILDING 400 SAVANNAH, GA 31406 (912) 352-1032	Blue Cross and Blue 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
1184770018	RODERICK PAUL STRICKLAND (Individual)	1317 ABERCORN ST SAVANNAH, GA 31401 (912) 234-8282		Non-Participating Provider	NO
1184851362	MORRISON DENTAL ASSOCIATES PC (Organization)	6602 ABERCORN ST SUITE 101 SAVANNAH, GA 31405 (912) 354-3444	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1194210229	EMILY MARIE HUSTED (Individual)	533 STEPHENSON AVE SAVANNAH, GA 31405 (912) 236-3557	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1205598315	BAICBCCKMFA LLC (Organization)	5209 PAULSEN STREET SAVANNAH, GA 31405 (912) 355-1512	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1205651551	NEW BENEVIS INC. (Organization)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013		Non-Participating Provider	NO
1215049358	SUSAN SMITH (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1215234935	HOWARD FAMILY DENTAL-DIAMOND CAUSEWAY, LLC (Organization)	1 DIAMOND CSWY MARSHPOINT PLAZA, SUIT 8 SAVANNAH, GA 31406 (912) 349-4349		Non-Participating Provider	NO
1215258249	JASON D. HOWARD (Individual)	533 STEPHENSON AVE SAVANNAH, GA 31405 (912) 236-3557	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1225101868	LORNA C. JACKSON (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1086	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 WellCare of North Carolina	Non-Participating Provider	YES
1225147861	JAMES BURRELL WILLIAMS (Individual)	310 EISENHOWER DR STE 2 SAVANNAH, GA 31406 (912) 351-0615	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1225238983	JONATHAN LEWIS HOLSKIN (Individual)	3 PINEHEART LN SAVANNAH, GA 31411 (912) 247-5152	Blue Cross and Blue 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
1225332372	ANN LINTON (Individual)	1310 ABERCORN ST SAVANNAH, GA 31401 (912) 234-0789	Blue Cross and Blue 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
1235210303	GERALD MITCHELL BENSON (Individual)	5010 PAULSEN ST SAVANNAH, GA 31405 (912) 351-0081	Ambetter from Magnolia Health Ambetter Health Ambetter of Alabama Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235361908	JACKSON P. MORGAN, III, PC (Organization)	4700 WATERS AVE SUITE 504 SAVANNAH, GA 31404 (912) 355-9330		Non-Participating Provider	NO
1245295302	DAVID MATTHEW BOND (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1245558089	CARLA H ROHER, D.M.D, P.C. (Organization)	28 MEDICAL ARTS CTR 836 EAST 65TH STREET SAVANNAH, GA 31405 (912) 355-0605		Non-Participating Provider	NO
1245910678	SAVANNAH GRANT (Individual)	6602 ABERCORN ST STE 101 SAVANNAH, GA 31405 (912) 354-3444	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1255454682	RUSSELL DEAN CLEMMONS (Individual)	310 EISENHOWER DR BLDG. #8 SAVANNAH, GA 31406 (912) 355-2050		Non-Participating Provider	NO
1255471769	GEORGE B MASSEY (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324		Non-Participating Provider	NO
1255513685	DAVID M PFITZER (Individual)	13015 ABERCORN ST SUITE D-8 SAVANNAH, GA 31419 (912) 927-7733	Blue Cross and Blue 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
1255783353	LINDSAY H ENGLISH (Individual)	310 EISENHOWER DR BLDG NO8 SAVANNAH, GA 31406 (912) 355-2050		Non-Participating Provider	NO
1265434146	JOHN FRANCIS LEUNG (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1265694053	SALVATORE BRANCATO (Individual)	130 STEPHENSON AVE STE 201 SAVANNAH, GA 31405 (912) 844-6407		Non-Participating Provider	NO
1265741201	LAURA HAWKINS HISSAM (Individual)	5420 PAULSEN STREET SAVANNAH, GA 31405 (912) 777-5767	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1265933840	DWC-P LLC DENTAL WELLNESS CENTER ON PAULSEN (Organization)	5209 PAULSEN STREET SAVANNAH, GA 31405 (912) 355-1512		Non-Participating Provider	NO
1275265985	TERRENCE JOSEPH SMITH (Individual)	230 CASABLANCA DR BLDG 1445 SAVANNAH, GA 31409 (719) 526-5537		Non-Participating Provider	NO
1275354870	SCOTT A. COHEN, DDS, PC (Organization)	310 EISENHOWER DR STE 2 SAVANNAH, GA 31406 (912) 535-9533		Non-Participating Provider	NO
1275708570	KAREN WILLIAMS COOPER DDS MANAGEMENT LLC (Organization)	101 LITTLE NECK RD STE F SAVANNAH, GA 31419 (912) 920-6202	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1275792723	REBECCA MARTIN ASPINWALL (Individual)	316 STEPHENSON AVE SAVANNAH, GA 31405 (912) 355-7790		Non-Participating Provider	NO
1275985251	ISAAC HANKLA (Individual)	28 E 63RD ST SAVANNAH, GA 31405 (270) 585-4020	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 NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	NO
1285314302	JESSICA PHELPS (Individual)	132 SOUTHERN BLVD SAVANNAH, GA 31405 (912) 210-5438	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 WellCare of North Carolina	Non-Participating Provider	NO
1285724682	DEREK VAN MILES (Individual)	316 STEPHENSON AVENUE SAVANNAH, GA 31405 (912) 355-7790		Non-Participating Provider	NO
1295757110	DAVID STEPHEN ACUFF (Individual)	210 E HALL ST SAVANNAH, GA 31401 (912) 236-6137		Non-Participating Provider	NO
1295824217	ROSANNE BRANDT (Individual)	310 EISENHOWER DRIVE, BUILDING #1 SAVANNAH, GA 31406 (912) 354-3444	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1295875755	ALFRED E PESTO (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1306044482	CARL ERIC HARMAN (Individual)	22 PARK OF COMMERCE WAY SAVANNAH, GA 31405 (912) 447-5556		Non-Participating Provider	NO
1306075999	ALEXANDRA DIXON SMITH SCHNABEL (Individual)	815 EAST 68TH STREET SAVANNAH, GA 31405 (912) 352-4338	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1306167937	CLYDE H. ANDREWS (Individual)	911 E 67TH ST SAVANNAH, GA 31405 (912) 352-2289	Blue Cross and Blue 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
1306860812	KEVIN BRYANT (Individual)	6 SKIDAWAY VILLAGE WALK SUITE 202 SAVANNAH, GA 31411 (912) 598-1959		Non-Participating Provider	NO
1306984612	ALFRED B ROBERTS (Individual)	6602 ABERCORN ST SUITE 1 SAVANNAH, GA 31405 (912) 354-3444	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1316062425	RONALD CHARLES SMILEY (Individual)	920 E 71ST ST SAVANNAH, GA 31405 (912) 355-5191		Non-Participating Provider	YES
1316065410	HOWARD FAMILY DENTAL-MIDTOWN, LLC (Organization)	533 STEPHENSON AVE SAVANNAH, GA 31405 (912) 236-3557	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1326158643	LOUIS REISMAN (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Blue Cross and Blue 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
1326165168	STEPHEN JOSEPH ARTHUR (Individual)	1915 EISENHOWER DR SAVANNAH, GA 31406 (912) 356-2037		Non-Participating Provider	YES
1326212424	SOUTHERN DENTAL CENTER PC (Organization)	340 EISENHOWER DR BUILDING 400 SAVANNAH, GA 31406 (912) 352-1032	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1326631003	ROBERT LYONS CRIDER (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1326778580	CAROLINE PAGE (Individual)	15 LAKE ST STE 100 SAVANNAH, GA 31411 (912) 598-8111	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1336939586	JACOB MICHAEL BURTON (Individual)	340 EISENHOWER DR STE 400 SAVANNAH, GA 31406 (912) 352-1032		Non-Participating Provider	NO
1346228673	JOSEPH W PISCHKE (Individual)	340 EISENHOWER DRIVE BUILDING 400 SAVANNAH, GA 31406 (912) 352-1032		Non-Participating Provider	YES
1346337359	DANIEL STEVEN CARSON (Individual)	6602 ABERCORN ST SAVANNAH, GA 31405 (912) 354-3444	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of South Carolina Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1346445095	KRISTIN MARIE SAVILLE (Individual)	207 E 31ST ST SAVANNAH, GA 31401 (912) 235-3610	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
1346629052	KRISTIE LYNN PARTIN-AGARWAL (Individual)	165TH MEDICAL GROUP 358 OELSCHIG DR SAVANNAH, GA 31408 (912) 966-8201	BannerAetna Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental of Arizona Guardian Humana	Non-Participating Provider	NO
1346734548	MELISSA JEAN MIGLIOZZI (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	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 UnitedHealthcare	Non-Participating Provider	NO
1356871222	ANDREW EARL RICHARDSON (Individual)	310 EISENHOWER DR STE 16 SAVANNAH, GA 31406 (912) 349-4021	Renaissance Dental	Non-Participating Provider	NO
1366119497	SMITH DENTAL CARE OF SAVANNAH, LLC (Organization)	7400 ABERCORN ST STE 814 SAVANNAH, GA 31406 (912) 542-0432		Non-Participating Provider	NO
1376164236	GEORGE RUBIN (Individual)	6600 ABERCORN ST STE 110 SAVANNAH, GA 31405 (912) 354-3880	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1376503508	HARRY T HICKSON (Individual)	2011 EISENHOWER DR SAVANNAH, GA 31406 (912) 356-2139		Non-Participating Provider	NO
1386653137	JAMES WILBUR HOLLAND (Individual)	7001 HODGSON MEMORIAL DR SUITE #3 SAVANNAH, GA 31406 (912) 352-2021		Non-Participating Provider	NO
1386867000	JULIA ANN ROUTHIER (Individual)	6707 FOREST PARK DR SAVANNAH, GA 31406 (912) 352-9120	Blue Cross and Blue 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
1396196812	SAVANNAH PERIODONTICS, P.C (Organization)	310 EISENHOWER DR STE 4 SAVANNAH, GA 31406 (912) 355-2688		Non-Participating Provider	NO
1396403051	INNOVATIVE ORTHO GROUP LLC (Organization)	9100 WHITE BLUFF RD STE 104 SAVANNAH, GA 31406 (912) 354-3474		Non-Participating Provider	NO
1396867339	EDWARD A HOLMES (Individual)	1102 E 55TH ST SAVANNAH, GA 31404 (912) 354-2545		Non-Participating Provider	NO
1417003369	BRADLEY S BUSBEE (Individual)	318 JOHNNY MERCER BLVD STE 12 SAVANNAH, GA 31410 (912) 897-4548	Ambetter from Absolute Total Care Ambetter of North Carolina 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 WellCare of North Carolina	Non-Participating Provider	YES
1417039892	THOMAS J MORRISON (Individual)	310 EISENHOWER DR BUILDING 1 SAVANNAH, GA 31406 (912) 354-3444		Non-Participating Provider	NO
1417152422	JAMES W HOLLAND DMD PC (Organization)	7001 HODGSON MEMORIAL DR SUITE 3 SAVANNAH, GA 31406 (912) 352-2021		Non-Participating Provider	NO
1417203415	ROY DOUGLAS MAYNARD (Individual)	821 KING GEORGE BLVD SAVANNAH, GA 31419 (912) 927-8484	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	NO
1417269515	DARRON R ALVORD (Individual)	7001 HODGSON MEMORIAL DR STE 3 SAVANNAH, GA 31406 (912) 352-2021		Non-Participating Provider	NO
1417389974	ADAM SQUICQUERO (Individual)	107 CHARLOTTE DR STE H SAVANNAH, GA 31410 (912) 898-0090	Ambetter from Absolute Total Care Ambetter of North Carolina Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of South Carolina Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1417638776	TROY WOODWARD (Individual)	901 E 66TH ST SAVANNAH, GA 31405 (912) 303-8080	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1417657487	JACOB ROBERT LEWIS (Individual)	230 CASABLANCA DR SAVANNAH, GA 31409 (571) 801-7148		Non-Participating Provider	NO
1417839424	CHRISTOPHER HUY TRAN (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206		Non-Participating Provider	NO
1427110733	KAREN ELAINE COOPER (Individual)	101 LITTLE NECK ROAD SUITE F SAVANNAH, GA 31419 (912) 920-6202	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1427252196	MARSHPOINT DENTISTRY, PC (Organization)	107 CHARLOTTE ROAD SUITE H SAVANNAH, GA 31410 (912) 898-0090	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1437216512	BENJAMIN THOMAS DUVAL (Individual)	835 E 65TH ST SUITE 101 SAVANNAH, GA 31405 (912) 352-4867		Non-Participating Provider	NO
1437233202	ANDREWS & BAKER, LLC SOUTHEASTERN ENDODONTICS LLC (Organization)	911 E 67TH ST SAVANNAH, GA 31405 (912) 352-2289	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1437321742	ANTIONETTE C WILSON (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1447309703	MARK N. DYE, DMD, LLC (Organization)	310 EISENHOWER DR BUILDING 14 SAVANNAH, GA 31406 (912) 355-2424		Non-Participating Provider	NO
1447366786	WALTER LEE YOUNG (Individual)	7001 HODGSON MEMORIAL DR. #3 SAVANNAH, GA 31406 (912) 352-2021		Non-Participating Provider	YES
1447747449	CLAUDIA ESPINOSA BATISTA (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1447831052	FIRST CITY FAMILY AND COSMETIC DENTISTRY (Organization)	702 E 66TH ST SAVANNAH, GA 31405 (912) 354-1420		Non-Participating Provider	NO
1457441859	DALE A MILES (Individual)	316 STEPHENSON AVENUE SAVANNAH, GA 31405 (912) 355-7790		Non-Participating Provider	NO
1457493744	NANCY VANN COLE (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1467967877	LAQUITA HOLT (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1477231959	JOHN CHRISTOPHER SOULAKOS (Individual)	14045 ABERCORN ST STE 2403 SAVANNAH, GA 31419 (912) 920-5577	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1477557262	RICHARD MORRIS THOMAS (Individual)	300 BULL ST STE 301 SAVANNAH, GA 31401 (912) 234-1944	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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1477664118	JAMES G JENKINS (Individual)	7400 ABERCORN ST STE 813 SAVANNAH, GA 31406 (912) 542-0432	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 UnitedHealthcare	Non-Participating Provider	NO
1477812865	WILLIAM ROBERT PETTIGREW (Individual)	7208 HODGSON MEMORIAL DR SUITE A SAVANNAH, GA 31406 (912) 351-4555	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1487028031	JULIA ANN ROUTHIER DMD LLC (Organization)	1 MALL TER SAVANNAH, GA 31406 (912) 352-9120		Non-Participating Provider	NO
1487222642	CANDACE COSBY JONES (Individual)	330 HODGSON CT SAVANNAH, GA 31406 (912) 353-8383		Non-Participating Provider	NO
1487601308	SCOTT A COHEN (Individual)	835 E 65TH ST SUITE 108 SAVANNAH, GA 31405 (912) 353-9533		Non-Participating Provider	NO
1497205637	EAST VICTORY DRIVE DENTAL GROUP, LLC SAVANNAH SMILES YOUTH DENTISTRY (Organization)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1497918759	WILLIAM HOWARD TROUT (Individual)	5209 PAULSEN STREET SAVANNAH, GA 31405 (912) 355-1512	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 UnitedHealthcare	Non-Participating Provider	NO
1508099490	HETAL PATEL (Individual)	101 LITTLE NECK RD SAVANNAH, GA 31419 (912) 920-6202	Blue Cross and Blue 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 Renaissance Dental	Non-Participating Provider	NO
1508939158	LESTER G. JACKSON (Individual)	1501 ABERCORN ST SAVANNAH, GA 31401 (912) 233-7970	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1518199629	JOHN ANTHONY DUSENBURY (Individual)	11139 ABERCORN ST SUITE 8 SAVANNAH, GA 31419 (912) 925-9190		Non-Participating Provider	NO
1518925270	CHANDRA MAHAPAURYA (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1085	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas WellCare of North Carolina	Non-Participating Provider	YES
1518971969	CLIFFORD JENS BERGER (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324		Non-Participating Provider	NO
1538141056	MARK NEWTON DYE (Individual)	310 EISENHOWER DR BUILDING 14 SAVANNAH, GA 31406 (912) 355-2424	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 WellCare of North Carolina	Non-Participating Provider	NO
1538152046	ALSTON J. MCCASLIN (Individual)	5901 ABERCORN ST SAVANNAH, GA 31405 (912) 355-5901	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1538175732	PHILIP I. FRIEDMAN (Individual)	6803 FOREST PARK DR SAVANNAH, GA 31406 (912) 354-7693	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1538298435	CHARLES R. FANA JR., DMD PC (Organization)	7130 HODGSON MEMORIAL DR STE 103 SAVANNAH, GA 31406 (912) 352-3955		Non-Participating Provider	NO
1538307814	JOBY KOOVAKADA GEORGE (Individual)	6600 ABERCORN ST SUITE 110 SAVANNAH, GA 31405 (912) 354-3880	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1538452685	BRACEY HYERS HOLLAND (Individual)	5901 ABERCORN STREET SAVANNAH, GA 31405 (912) 355-5901	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1538518774	SONAM R PATEL (Individual)	901 E 66TH ST SAVANNAH, GA 31405 (912) 525-7777	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	NO
1538608591	CHRISTOPHER ASHLEY CLAYTON (Individual)	9100 WHITE BLUFF RD STE 104 SAVANNAH, GA 31406 (912) 354-3474		Non-Participating Provider	NO
1538901376	ANDREW DAVID WHITE (Individual)	14045 ABERCORN ST STE 2403 SAVANNAH, GA 31419 (912) 920-5577	Humana	Non-Participating Provider	NO
1548401433	LARRY C. MILLER (Individual)	711 E 70TH ST # A SAVANNAH, GA 31405 (912) 352-4386		Non-Participating Provider	NO
1548491855	CHAD MARTIN SCHNABEL (Individual)	836 E 65TH ST SUITE 9A SAVANNAH, GA 31405 (912) 354-1366	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life UnitedHealthcare	Non-Participating Provider	YES
1548528045	MORGAN WIMBISH MURRAY (Individual)	721 E 66TH ST SAVANNAH, GA 31405 (912) 354-8715		Non-Participating Provider	NO
1548899800	LAHAREE SHAH (Individual)	4849 PAULSEN ST STE 101 SAVANNAH, GA 31405 (912) 298-5437		Non-Participating Provider	NO
1548996325	DEVEN ALLERT (Individual)	14045 ABERCORN ST STE 2403 SAVANNAH, GA 31419 (919) 920-5577	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 Plan of Oregon Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1568087070	EMILY WOODS COLEMAN (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1568183473	EDWARD ANGUS JACKSON SMITH (Individual)	5102 PAULSEN ST BLDG 8 SAVANNAH, GA 31405 (912) 655-8855		Non-Participating Provider	NO
1568806388	DWC-SAV, LLC DENTAL WELLNESS CENTER OF SAVANNAH (Organization)	14045 ABERCORN ST SUITE 2403 SAVANNAH, GA 31419 (912) 445-5337	UnitedHealthcare	Non-Participating Provider	NO
1578778841	MICHAEL B. DAYOUB, DDS, MS (Organization)	310 EISENHOWER DR STE 4 SAVANNAH, GA 31406 (912) 355-2688		Non-Participating Provider	NO
1578782702	ROBERT BURKE MILLER (Individual)	901 E 66TH ST SAVANNAH, GA 31405 (912) 525-7777	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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1598651556	MARY GARRETT MCLEOD NEEL (Individual)	330 HODGSON CT SAVANNAH, GA 31406 (912) 353-8383		Non-Participating Provider	NO
1598992778	MORRISON DENTAL ASSOCIATES, P.C. (Organization)	318 JOHNNY MERCER BLVD SUITE 12 SAVANNAH, GA 31410 (912) 897-4548		Non-Participating Provider	NO
1609095553	BETH ANN SHERIDAN (Individual)	340 EISENHOWER DR STE 600 SAVANNAH, GA 31406 (912) 354-5559		Non-Participating Provider	NO
1609965979	JAMES H VAUGHTER (Individual)	5209 PAULSEN ST SAVANNAH, GA 31405 (912) 355-1512		Non-Participating Provider	YES
1619231909	BENJAMIN WADE POSTON (Individual)	801 E 66TH ST SAVANNAH, GA 31405 (912) 354-8467	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1629119466	RYAN MATTHEW REEVES (Individual)	1317 ABERCORN ST SAVANNAH, GA 31401 (912) 234-8282	Blue Cross and Blue 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
1629369525	KRISTA ANNE COX (Individual)	4849 PAULSEN ST STE 101 SAVANNAH, GA 31405 (912) 298-5437	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1629369947	JOHN CHARLES O'NEILL (Individual)	310 EISENHOWER DR SUITE #4 SAVANNAH, GA 31406 (912) 355-2688	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	YES
1639184401	LARRY C MILLER (Organization)	711 E 70TH ST SAVANNAH, GA 31405 (912) 352-4386		Non-Participating Provider	NO
1639269038	ENDODONTIC ASSOCIATES OF SAVANNAH PC (Organization)	316 STEPHENSON AVENUE SAVANNAH, GA 31405 (912) 355-7790		Non-Participating Provider	NO
1639490675	RYAN MICHAEL FULCHI (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1649062571	KARA GRISELL (Individual)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013		Non-Participating Provider	NO
1649264565	MATT TAVIS GRILL (Individual)	207 E 31ST ST SAVANNAH, GA 31401 (912) 232-2779	Humana	Non-Participating Provider	YES
1649661307	LAUREN BENTON (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1649760687	REBEKAH WOOTEN (Individual)	310 EISENHOWER DR SAVANNAH, GA 31406 (513) 505-3392	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1659426542	DENTISTRY FOR CHILDREN AND ADOLESCENTS, P.C. (Organization)	5901 ABERCORN ST SAVANNAH, GA 31405 (912) 355-5901	DentaQuest USA Insurance Company Inc. UnitedHealthcare	Non-Participating Provider	NO
1659741437	JEBEDIAH S. CHRISTY DDS-SAVANNAH PLLC ASPEN DENTAL (Organization)	7805 ABERCORN ST STE 29B SAVANNAH, GA 31406 (315) 454-6000	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1659819613	DOGWOOD PEDIATRIC DENTISTRY OF SAVANNAH (Organization)	4849 PAULSEN ST SUITE 101 SAVANNAH, GA 31405 (229) 254-4491	UnitedHealthcare	Non-Participating Provider	NO
1669431474	JAMES B MELVIN (Individual)	7001 HODGSON MEMORIAL DR STE 4 SAVANNAH, GA 31406 (912) 355-1307	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	NO
1669571816	WILLIAM M ALLEN (Individual)	702 E 66TH STREET SAVANNAH, GA 31405 (912) 354-1420		Non-Participating Provider	YES
1679687677	JAMES DAVID MOORE (Individual)	130 STEPHENSON AVENUE SUITE 101 SAVANNAH, GA 31405 (912) 351-9803		Non-Participating Provider	NO
1679901581	THOMAS BRODERICK (Individual)	500 EISENHOWER DR SAVANNAH, GA 31406 (912) 355-7022	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1689028300	BRADFORD A. DURHAM DMD, PC (Organization)	1317 ABERCORN ST SAVANNAH, GA 31401 (912) 234-8282		Non-Participating Provider	NO
1689028300	BRADFORD A. DURHAM DMD, PC (Organization)	1317 ABERCORN ST SAVANNAH, GA 31401 (912) 234-8282		Non-Participating Provider	NO
1689109266	TORRIE CHARELL BATTLE (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1085	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental WellCare of North Carolina	Non-Participating Provider	YES
1689741118	BRIAN DOUGLAS BEAUDREAU (Individual)	5509 PAULSEN ST SAVANNAH, GA 31405 (912) 354-9204	Blue Cross and Blue 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
1689995201	J. BRIAN BAKER (Individual)	911 E 67TH ST SAVANNAH, GA 31405 (912) 352-2289	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1699041996	PHILIP I. FRIEDMAN, D.D.S., P.C. (Organization)	6803 FOREST PARK DR SAVANNAH, GA 31406 (912) 354-7693		Non-Participating Provider	NO
1699208264	MORGAN BOAEN SMITH (Individual)	4849 PAULSEN ST STE 101 SAVANNAH, GA 31405 (912) 298-5437	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1699310656	ROBERT B MILLER DMD PC MILLER DENTAL GROUP (Organization)	901 E 66TH ST SAVANNAH, GA 31405 (912) 525-7777		Non-Participating Provider	NO
1700208642	HEALTHY SMILES OF SAVANNAH (Organization)	5420 PAULSEN STREET SAVANNAH, GA 31405 (912) 777-5767	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1700562584	BAILEY AAB (Individual)	206 JOHNNY MERCER BLVD SAVANNAH, GA 31410 (912) 897-9000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1700810231	JACK W GROOVER (Individual)	711 E 70TH ST SAVANNAH, GA 31405 (912) 354-9541		Non-Participating Provider	NO
1700954849	PATRICIA MCCOY BROWN (Individual)	102 E VICTORY DR SAVANNAH, GA 31405 (912) 238-3600		Non-Participating Provider	NO
1700983723	WALKER THOMAS PENDARVIS (Individual)	6600 ABERCORN ST SUITE 204 SAVANNAH, GA 31405 (912) 349-3259		Non-Participating Provider	YES
1710047774	SANDY S TERMOTTO (Individual)	11706 MERCY BLVD SUITE 2 SAVANNAH, GA 31419 (912) 925-3400	Blue Cross and Blue Shield of Alabama	Non-Participating Provider	NO
1710278403	PHILLIP MICHAEL STRICKLAND (Individual)	4849 PAULSEN ST STE 101 SAVANNAH, GA 31405 (912) 298-5437	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1710995089	STEPHANIE L SKINNER (Individual)	10515 WHITE BLUFF RD SAVANNAH, GA 31406 (912) 925-6613	Florida Combined Life Humana	Non-Participating Provider	NO
1720203912	KIMBERLY NIESSEN TURNER (Individual)	310 EISENHOWER DR STE 4 SAVANNAH, GA 31406 (912) 355-2688	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Humana Paramount Paramount Dental	Non-Participating Provider	YES
1720442627	GAMBLE DENTALSMART EB5 VII PC DENTALSMART (Organization)	110 MALL BLVD SAVANNAH, GA 31406 (843) 735-6727		Non-Participating Provider	NO
1720497324	ANGELA C. CANFIELD DDS PC SANDFLY FAMILY DENTAL (Organization)	7360 SKIDAWAY RD SUITE H2 SAVANNAH, GA 31406 (912) 713-1398		Non-Participating Provider	NO
1730172214	H. BYRON COLLEY (Individual)	5901 ABERCORN ST SAVANNAH, GA 31405 (912) 355-5901	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1730279837	JAMES RUTLEDGE COLEMAN (Individual)	6602 ABERCORN ST STE 101 SAVANNAH, GA 31405 (912) 354-3444	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana UnitedHealthcare WellCare of North Carolina	Opted out of Medicare	YES
1740487982	ABBY LEE DEW (Individual)	50 MEETING ST STE B SAVANNAH, GA 31411 (912) 480-0804	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1750407490	CHRISTY COLE HARPRING (Individual)	206 JOHNNY MERCER BLVD SAVANNAH, GA 31410 (912) 897-9000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1750544433	JOSEPH E BROWN (Individual)	6602 ABERCORN ST SUITE 1 SAVANNAH, GA 31405 (912) 354-3444	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1760422364	DANIEL GARY BREITBERG (Individual)	1190-B KING GEORGE BLVD. STE. 1 SAVANNAH, GA 31419 (912) 921-0401	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 UnitedHealthcare	Opted out of Medicare	YES
1760494249	NEW BENEVIS INC. (Organization)	2127 E VICTORY DR SAVANNAH, GA 31404 (912) 443-6013		Non-Participating Provider	NO
1760966295	310HABERSHAMDENTAL LLC (Organization)	310 EISENHOWER DR BUILDING 1 SAVANNAH, GA 31406 (912) 234-2206		Non-Participating Provider	NO
1770594483	KEVIN C DICKINSON (Individual)	815 EAST 68TH STREET SAVANNAH, GA 31405 (912) 352-4338		Non-Participating Provider	NO
1770665127	PAUL R RUE (Individual)	318 JOHNNY MERCER BLVD SUITE 12 SAVANNAH, GA 31410 (912) 235-3610		Non-Participating Provider	NO
1770683815	MATTHEW STEPHEN ROSENTHAL (Individual)	1 MALL TER SAVANNAH, GA 31406 (912) 352-7808	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental	Non-Participating Provider	NO
1780785063	THOMAS CRAIG RICHARDS (Individual)	1 MALL TER SAVANNAH, GA 31406 (912) 352-7808	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental WellCare of North Carolina	Non-Participating Provider	YES
1790005932	BRADFORD A. DURHAM (Individual)	1317 ABERCORN ST SAVANNAH, GA 31401 (912) 234-8282		Non-Participating Provider	NO
1790536233	MATTHEW JOHN KETTERING (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Humana	Non-Participating Provider	NO
1790994606	TUDOR AUREL DRAGULESCU (Individual)	1800 E VICTORY DR STE 2 SAVANNAH, GA 31404 (912) 443-6013	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1801109061	AARON BRENT RAWLINGS (Individual)	7001 HODGSON MEMORIAL DR STE 3 SAVANNAH, GA 31406 (912) 352-2021		Non-Participating Provider	NO
1801124862	LEON EDWARD FELPS (Individual)	6602 ABERCORN ST. SUITE 101 SAVANNAH, GA 31405 (912) 354-3444	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
1801920301	SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C. (Organization)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324	UnitedHealthcare	Non-Participating Provider	NO
1801955877	ALICE M BOOTH (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1811037385	JOHN D WIEBE (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324		Non-Participating Provider	YES
1811074974	MARK IVAN STEWART (Individual)	821 KING GEORGE BLVD SUITE A SAVANNAH, GA 31419 (912) 925-5440		Non-Participating Provider	NO
1811161409	SIMPLY CHILDRENS DENTISTRY INC (Organization)	613 STEPHENSON AVENUE SUITE 201 SAVANNAH, GA 31405 (912) 353-9993		Non-Participating Provider	NO
1811288707	PAUL MYERS HINCHEY (Individual)	501 EISENHOWER DR SAVANNAH, GA 31406 (912) 354-1515	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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	Opted out of Medicare	YES
1811519895	TREYVON DESHAWNTE MERRITT (Individual)	106 E BROAD ST SAVANNAH, GA 31401 (912) 527-1000	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Humana Paramount Paramount Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1811996937	ARMSTRONG JOLLY HOWARD (Individual)	11139 ABERCORN ST SUITE 8 SAVANNAH, GA 31419 (912) 925-9190	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	YES
1821159963	FRANK E. SCARBROUGH (Individual)	4849 PAULSEN ST SUITE 312 SAVANNAH, GA 31405 (912) 354-1515	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1821207374	DOUGLAS EDWARD SMITH (Individual)	5102 PAULSEN ST BLDG 8 SAVANNAH, GA 31405 (912) 655-8855	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 Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1821227901	CARMEN MARIE ASHFORD (Individual)	904 E 66TH ST SAVANNAH, GA 31405 (770) 490-8312		Non-Participating Provider	NO
1821229808	DEEPAK GUPTA (Individual)	207 E 31ST ST SAVANNAH, GA 31401 (912) 232-2779	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 UnitedHealthcare	Non-Participating Provider	YES
1821251299	HABERSHAM DENTAL PARTNERS, LLC HABERSHAM DENTAL, PC (Organization)	2515 HABERSHAM STREET SAVANNAH, GA 31401 (912) 234-2206		Non-Participating Provider	NO
1821725011	VLAD COBZARU (Individual)	723 E 65TH ST SAVANNAH, GA 31405 (912) 355-0555	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1831674290	KATHLEEN ROUSE VAUGHT (Individual)	7650 WATERS AVE SAVANNAH, GA 31406 (912) 200-3452		Non-Participating Provider	NO
1841265451	SAVANNAH SMILES YOUTH DENTISTRY, PC (Organization)	2127 E VICTORY DR SUITE #2 SAVANNAH, GA 31404 (912) 443-6013		Non-Participating Provider	NO
1841318953	HOWARD FAMILY DENTAL-SOUTHSIDE, LLC (Organization)	15 E MONTGOMERY XRD SUITE 201 SAVANNAH, GA 31406 (912) 927-3615	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee WellCare of North Carolina	Non-Participating Provider	NO
1841415874	CHATHAM ORAL SURGERY, PC (Organization)	501 EISENHOWER DR SAVANNAH, GA 31406 (912) 354-1515	UnitedHealthcare	Non-Participating Provider	NO
1841755287	SOUTHSIDE EMERGENCY DENTAL CENTER LLC (Organization)	10515 WHITE BLUFF RD. SAVANNAH, GA 31406 (912) 925-6613		Non-Participating Provider	NO
1851302392	SANDRA ADAMS-SMITH (Individual)	343 COMMERCIAL DR SAVANNAH, GA 31406 (912) 355-5437		Non-Participating Provider	NO
1861468191	KENNETH L. SHACKLE (Individual)	230 DUNCAN DR BLDG. 1440 - HAAF SAVANNAH, GA 31409 (912) 315-5417		Non-Participating Provider	NO
1861847022	ERIKA CAROLINE FINCH (Individual)	6602 ABERCORN ST STE 101 SAVANNAH, GA 31405 (912) 354-3444	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 UnitedHealthcare	Non-Participating Provider	YES
1861884124	BRYAN M BENTON (Individual)	501 EISENHOWER DR SAVANNAH, GA 31406 (912) 354-1515	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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	Non-Participating Provider	NO
1871644179	MICHAEL IRVIN KONTER (Individual)	11 MEDICAL ARTS CTR SAVANNAH, GA 31405 (912) 355-8821		Opted out of Medicare	NO
1871687731	MORGAN W MURRAY MS DMD PC (Organization)	721 EAST 66TH STREET SAVANNAH, GA 31405 (912) 354-8715		Non-Participating Provider	NO
1881776284	HAROLD A BLACK (Individual)	6602 ABERCORN ST SUITE 101 SAVANNAH, GA 31405 (912) 354-3444	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1891956447	STEVEN GARY BERWITZ (Individual)	7 OGLETHORPE PROFESSIONAL BLVD SUITE 2 SAVANNAH, GA 31406 (912) 355-5004		Opted out of Medicare	YES
1902255136	ANDREW CUPP (Individual)	340 EISENHOWER DR SUITE 400 SAVANNAH, GA 31406 (912) 352-1032	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	NO
1902370158	HABERSHAM DENTAL OF SAVANNAH LLC (Organization)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206	UnitedHealthcare	Non-Participating Provider	NO
1912096090	JOHN WILLIAM JAMERSON (Individual)	315 E HENRY ST SAVANNAH, GA 31401 (912) 232-6171	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1922165075	PHILIP WENDELL COOPER (Individual)	413 W DUFFY ST SAVANNAH, GA 31401 (912) 234-5003	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1922183144	WILLIAM ERIC GLADDEN (Individual)	10010 ABERCORN ST SUITE 3 SAVANNAH, GA 31406 (912) 925-8660	Blue Cross and Blue 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
1801787544	SARAH ALONSO (Individual)	2515 HABERSHAM ST SAVANNAH, GA 31401 (912) 234-2206		Non-Participating Provider	NO
1922261973	CARA CHRISTINA DELEON (Individual)	310 EISENHOWER DR STE 6 SAVANNAH, GA 31406 (912) 349-4021	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life UnitedHealthcare	Non-Participating Provider	NO
1922364629	COASTAL SLEEP SOLLUTIONS LLC COASTAL SLEEP SOLUTIONS (Organization)	413 W DUFFY ST SAVANNAH, GA 31401 (912) 544-0484		Non-Participating Provider	NO
1932225422	CARLA H ROHER (Individual)	1190 KING GEORGE BLVD # B SAVANNAH, GA 31419 (912) 335-0605	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Opted out of Medicare	NO
1932330164	JUSTIN BRIAN DAMRON (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Opted out of Medicare	YES
1942215355	C. THOMAS GRAHAM, D.M.D., P.C. (Organization)	7001 HODGSON MEMORIAL DR SUITE 4 SAVANNAH, GA 31406 (912) 353-8383		Non-Participating Provider	NO
1942595715	MICHAEL JOSEPH GROOVER (Individual)	711 E 70TH ST SUITE B SAVANNAH, GA 31405 (912) 354-9541	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas UnitedHealthcare	Non-Participating Provider	YES
1952307423	GERALD E KRAMER (Individual)	40 MEDICAL ARTS CTR SAVANNAH, GA 31405 (912) 354-1366	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 UnitedHealthcare	Non-Participating Provider	YES
1952496705	NILS HENRIK ANDERSON (Individual)	911 E 67TH ST SAVANNAH, GA 31405 (912) 692-1300	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1962664094	CHRISTOPHER ROBERT COMER (Individual)	5302 FREDERICK ST #103 SAVANNAH, GA 31405 (912) 355-8771		Non-Participating Provider	NO
1972174795	BRIANA AMOS WILLIAMS (Individual)	815 E 68TH ST SAVANNAH, GA 31405 (912) 355-8821		Non-Participating Provider	NO
1972643476	JENNIFER E HALL (Individual)	4815 PAULSEN ST SAVANNAH, GA 31405 (912) 352-2324	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental	Opted out of Medicare	YES
1972697183	ROBERT D POSTON (Individual)	801 E 66TH ST SAVANNAH, GA 31405 (912) 354-8467		Non-Participating Provider	NO
1972882900	PEDIATRIC DENTISTRY OF SAVANNAH, LLC PEDIATRIC DENTISTRY OF SAVANNAH (Organization)	310 EISENHOWER DR BUILDING #6 SAVANNAH, GA 31406 (912) 349-4021	UnitedHealthcare	Non-Participating Provider	NO
1982441663	SHRADDHA V VACHHANI (Individual)	7400 ABERCORN ST STE 813 SAVANNAH, GA 31406 (912) 542-0432		Non-Participating Provider	YES
1982743324	WILLIAM GREGORY EVANS (Individual)	5302 FREDERICK ST STE 103 SAVANNAH, GA 31405 (912) 355-8771		Non-Participating Provider	NO
1982895264	GARRY LEE WHITLEY (Individual)	126 SUMMIT RIDGE DR SAVANNAH, GA 31406 (912) 355-9094	Blue Cross and Blue 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

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